72-year-old female with history of pancreatic cysts. Evaluate for any abnormalities. ABDOMEN:LIVER, BILIARY TRACT: Gallbladder sludge and stones. Few small hepatic cysts. No suspicious hepatic mass. No biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: Scattered T2 hyperintense foci throughout the pancreas, some of which appear to connect to the pancreatic duct, likely side-branch IPMNs. No appreciable enhancement in these lesions on the limited post-contrast sequences. The largest lesion in the neck measures 1.4 x 1.9 cm (series 9, image 16).No pancreatic ductal dilatation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Large T2 hyperintense foci in the left kidney, one in the upper pole is mildly complex with thin septations, presumably cysts. No definite enhancement is seen in the visualized portions of these lesions not obscured by metal artifact on the limited post-contrast sequences.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: 8 mm nonspecific enhancing nodule in the right lateral breast (series 12, image 10).Rods and screws throughout the thoracolumbar spine produces significant metal artifact that variably degrades MRI sequences.OTHER: No significant abnormality noted.
1. Scattered cystic foci throughout the pancreas, largest is 1.4 x 1.9 cm, most suggestive of side-branch IPMNs.2. Nonspecific 8 mm enhancing nodule in the lateral right breast, correlation with mammogram/ultrasound as clinically warranted.