70-year-old female with history of pancreatitis and pancreatic IPMN ABDOMEN:LIVER, BILIARY TRACT: Status post cholecystectomy. Mild intrahepatic biliary ductal dilatation.SPLEEN: T2 hyperintense lesions in the liver.PANCREAS: Resolution of pancreatitis. Focal enlargement of the pancreatic tail is not significantly changed.Appropriate response to secretin. No main pancreatic duct dilatation. There is a 3 mm focal cystic lesion with communication to the main pancreatic duct compatible with an IPMN, decreased in size when compared to the prior examination. ADRENAL GLANDS: Nodular left adrenal gland. KIDNEYS, URETERS: Renal cyst in the right kidney.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Small gastric diverticulum is present. BONES, SOFT TISSUES: Leftward curvature of the lumbar spine. Right T10 perineural cyst.OTHER: No significant abnormality noted.
1.Interval decrease in size of a cystic lesion with identifiable communication with the main pancreatic duct compatible with a sidebranch IPMN.2.Resolution of pancreatitis. No evidence of complication. 