55 year old female patient with history of epigastric pain, weight loss, mildly elevated lipase. CT demonstrated prominence of the pancreatic duct. Evaluate for pancreatitis and pancreatic inflammation. ABDOMEN:LIVER, BILIARY TRACT: There is paradoxic loss of signal on in phase imaging of the hepatic parenchyma compatible with iron deposition. No focal T2 hyperintense lesion is identified.SPLEEN: There is paradoxic loss of signal on in phase imaging of the splenic parenchyma compatible with iron deposition.PANCREAS: The pancreatic duct within the head and proximal body is prominent in size, however, there is no evidence of an obstructing lesion. The pancreas demonstrates normal, uniform signal on T1 weighted imaging. Lack of IV contrast limits evaluation, however, no pancreatic lesion is identified. There is no significant peripancreatic inflammation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: There are innumerable bilateral T2 hyperintense renal lesions, which are incompletely evaluated on non-contrast imaging, however likely represent renal cysts related to chronic kidney disease. There is interval development of a septated right lower pole renal mass measuring 6.5 x 5.4 x 5.4 cm which demonstrates intermediate T2 signal and regions of internal T1 signal indicative of hemorrhage; this lesion is incompletely evaluated without IV contrast.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.No evidence of pancreatitis or pancreatic mass.2.New right lower pole renal mass is incompletely evaluated with IV contrast. While this could represent a new hemorrhagic cyst, an underlying lesion is not excluded; contrast enhanced dedicated renal CT is recommended for further evaluation given patient's ESRD. 3.Bilateral renal cysts likely related to chronic kidney disease.4.Iron deposition within the liver and spleen. 