61 yo male with history of head of pancreas mass, follow-up. ABDOMEN:LIVER, BILIARY TRACT: Hepatic parenchymal signal is within normal limits. A subcentimeter cyst is present within segment 1. No suspicious focal hepatic lesions are identified. There is cholelithiasis without evidence of cholecystitis.SPLEEN: No significant abnormality noted.PANCREAS: A lobulated cystic structure in the head of the pancreas is mildly increased in size since the prior examination. It currently measures 1.5 x 1.2 x 2.3 cm (series 10, image 25 and series 9, image 19), previously 1.5 x 1.2 x 1.8 cm. The lesion contains fine internal septations but does not demonstrate suspicious features such as enhancement or nodularity. The lesion possibly communicates with the pancreatic duct. There is no significant pancreatic ductal dilatation. ADRENAL GLANDS: Circumscribed round right adrenal lesion demonstrates signal dropout on opposed phase imaging is most consistent with an adenoma and is not significantly changed.KIDNEYS, URETERS: Bilateral renal cysts of varying complexity without significant interval change.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Mild interval increase in size of a lobulated cystic structure in the pancreatic head. The lesion possibly communicates with the pancreatic duct and lacks suspicious features. Continued follow up is recommended. 2.Stable appearance of right adrenal adenoma and renal cysts. 