History of pancreatic divisum, IPMN and ductal dilatation. ABDOMEN:LIVER, BILIARY TRACT: Unchanged nonenhancing T1 hypointense lesion in the right hepatic dome, likely cyst. The liver is normal in morphology size, signal intensity and enhancement without a focal suspicious lesion biliary ductal dilatation or vascular abnormality. Cholelithiasis within a normally distended gallbladder without evidence of gallbladder inflammation.The common bile duct measures up to 8 mm and tapers smoothly, unchanged.SPLEEN: Normal splenic size without a focal lesion.PANCREAS: Pancreas divisum. The main pancreatic duct measures up to 9 mm at the level of the pancreatic body and head. It tapers smoothly at the level of minor ampulla without a discrete mass. There is mild pancreatic parenchymal atrophy with otherwise normal T1-weighted signal intensity. Pancreatic head/uncinate process cystic focus measures 1.1 x 0.9 cm in the coronal plane. It appears to communicate with the ventral pancreatic duct.No suspicious postcontrast enhancement of the cystic lesion or main pancreatic duct.Following secretin administration there is no significant enlargement of the pancreatic duct, compatible with decreased compliance. However, there is adequate excretory response. No definite side branch ectasia delineated.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Stable left renal superior pole hemorrhagic cyst with overlying mild cortical scarring. Additional punctate to small to characterize nonenhancing foci.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Descending colon diverticulosis without diverticulitis.BONES, SOFT TISSUES: In the left lower lobe posteriorly there is a 1.6 cm nodule, seen on CT chest dated 6/17/2014 where it was characterized as a hamartoma.OTHER: Cardiomegaly.Unchanged cystic lesion in the right hemipelvis.
1.Pancreas divisum with main pancreatic ductal dilatation (stable to mildly increased when compared to earlier study) measuring up to 9 mm without suspicious postcontrast enhancement.2.Unchanged 1.1 x 0.9 cm pancreatic head/uncinate process intraductal papillary mucinous neoplasm without suspicious postcontrast enhancement.