Cirrhosis. Cyst found on recent ultrasound. Evaluate for lesion. ABDOMEN:LIVER, BILIARY TRACT: Mild left hepatic lobe hypertrophy and fissural prominence.Punctate cysts are noted.No focal suspicious liver lesion. No biliary ductal dilatation. The vessels are patent.Normally distended gallbladder.SPLEEN: The spleen is normal in size.PANCREAS: Pancreas divisum (series 5, image 21). Several punctate cystic foci in the pancreatic body and tail without definite communication with the main pancreatic duct which is normal in caliber. The largest is a bilobed/septated cystic lesion in the body measuring 1.1 cm. No suspicious post-contrast enhancement. No parenchymal atrophy or suspicious lesion.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral simple appearing cysts. No hydronephrosis or suspicious lesion.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Small fat-containing umbilical hernia.OTHER: No significant abnormality noted.
1. 1.1 cm bilobed/septated cystic lesion in the pancreatic body without definite communication with the main pancreatic duct which is normal in caliber. No suspicious postcontrast enhancement. Additional punctate pancreatic cystic foci are noted pancreatic tail. This may be followed with serial imaging to document stability. 2. No suspicious liver lesion.3. Pancreas divisum without specific stigmata of acute or chronic pancreatitis. 