75-year-old male with abdominal bloating, pancreatic tail cyst ABDOMEN:LIVER, BILIARY TRACT: T2 hyperintense cysts are noted throughout the liver, some of which are subcentimeter, likely reflecting benign cysts.The gallbladder is contracted.SPLEEN: No significant abnormality noted.PANCREAS: Redemonstrated are T2 hyperintense cystic lesions in the head, body and tail of the pancreas. Multilobulated cystic lesion in the tail of pancreas measures approximately 2.8 x 2.2 cm (series 4, image 25), previously 2.1 x 1.8 cm. There is intrinsic T1 hyperintense material layering within the cystic lesions. There is a septated cystic focus in the body of the pancreas measuring 1.3 x 1.3 cm (series 4, image 29). There is a T2 hyperintense cystic lesion in the head of the pancreas.Additional T2 hyperintense foci communicating with the main pancreatic duct are compatible with sidebranch type IPMN and/or side branch ectasia. There is no abnormal enhancement.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: T2 hyperintense cysts in the right kidney not significantly changed when compared to CT dated 11/21/2012. Subcentimeter T2 hyperintense cysts are noted in the left kidney. No hydronephrosis or perinephric inflammation.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.Cystic lesions in the head, body and tail of the pancreas demonstrating communication with the main pancreatic duct compatible with sidebranch type IPMN. There has been interval increase in size of the lesion in the tail when compared to CT 11/21/2012. No abnormal enhancement is present.