65-year-old female with abdominal pain, weight loss status post a US showing 4 cm solid/cystic mass in the pancreatic head ABDOMEN:LUNG BASES: Scarring and traction bronchiectasis in the para mediastinal right lung base compatible with post radiation changes. Trace right pleural effusion.LIVER, BILIARY TRACT: Trace subhepatic free fluid. Findings compatible with iron deposition.SPLEEN: Scattered calcified granulomas in the spleen. Small amount of perisplenic fluid.PANCREAS: Mixed solid and cystic masslike enlargement of the pancreatic head measuring 3.9 x 3.2 cm (series 1403, image 283). The lesion demonstrates enhancement with a nonenhancing central focus. Peripancreatic interstitial edema surrounding the head and uncinate process and second portion of the duodenum. Mild atrophy of the proximal body of the pancreas. Minimal scattered peripancreatic subcentimeter lymph nodes, the largest measuring 1.5 x 0.6 cm (series 1404, image 439). The main arteries and veins are patent. There is decreased compliance of the main pancreatic duct with administration of secretin. There is a focal short segment stricture of the main pancreatic duct at the head of the pancreas. No significant upstream dilation of the main duct.ADRENAL GLANDS: Nodularity of the left adrenal gland.KIDNEYS, URETERS: Scattered T2 hyperintense cysts in bilateral kidneys. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: An IVC filter is noted.BOWEL, MESENTERY: Colonic diverticulosis without evidence of diverticulitis.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Mixed solid and cystic masslike enlargement at the pancreatic head as described above. While underlying malignancy cannot be entirely excluded, findings are more supportive of focal pancreatitis. A follow-up MRI/MRCP with and without contrast is recommended in six weeks for confirmation.2.Findings of iron deposition in the liver and spleen.