History of cystic pancreatic lesion. Evaluate for change and/or abnormality. ABDOMEN:LIVER, BILIARY TRACT: The liver is nodular in contour with fibrotic changes compatible with cirrhosis. Loss of signal on in phase imaging is compatible with iron deposition. There is no biliary ductal dilatation. There are multiple scattered T2 hyperintense lesions, which are too small to characterize, likely cysts. The gallbladder is normal in appearance. There are subcentimeter T1 hyperintense lesions within segment 8/7 (series 12, image 17), with no evidence of washout of the larger lesion on subtraction imaging, compatible with a dysplastic nodule. The smaller lesion is too small to characterize.SPLEEN: Large splenorenal shunts are identified.PANCREAS: A T2 hyperintense cystic lesion with two mildly thickened septations within the uncinate process measures 5.0 x 3.6 cm (series 9, image 20), previously 4.6 x 3.0 cm. There is no enhancing mural nodularity. Possible tiny side branch IPMN within the pancreatic head. The main pancreatic duct is normal in caliber. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Left basilar subsegmental atelectasis.
1.Increased size of uncinate cystic lesion now measuring 5 cm, with two mildly thickened septations, but no enhancement.2.Cirrhotic morphology of the liver, with dysplastic nodules, but no suspicious enhancing lesion.