64-year-old female. Evaluate for pancreatic cyst discovered on CT. ABDOMEN:LIVER, BILIARY TRACT: In hepatic segment 6, there is a 1.8 x 1.1 cm T2 hyperintense focus that demonstrates peripheral nodular enhancement that fill in on delayed imaging compatible with a benign hemangioma (series 7 image 22, series 15 image 418). Additionally, a subcentimeter cyst of the inferior right hepatic lobe is also noted.SPLEEN: No significant abnormality noted.PANCREAS: In the uncinate process, there is a 3.5 x 2.2 cm unilocular cystic lesion (series 7 image 21, series 9 image 27) with lobulated margins demonstrating connections with the proximal and distal aspect of the pancreatic duct (series 7 image 23, series 4 image 25). No upstream pancreatic ductal dilatation is seen. There is no associated postcontrast enhancement or other suspicious features.ADRENAL GLANDS: Bilateral adrenal nodules demonstrate loss of signal on the out of phase sequence compatible with benign adenomas (series 14 images 157, 145).KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Levoscoliosis of the lumbar spine with multilevel compression deformities.There is nonspecific postcontrast enhancement of the right posterior iliac bone extending to the SI joint (series 15 image 193). No signal abnormality is appreciated on the coronal T2 or precontrast T1 fat-saturated sequence.OTHER: No significant abnormality noted.
1.Unilocular cystic lesion centered in the uncinate process measuring 3.5 x 2.2 cm demonstrating lobular margins and communicating with the main pancreatic duct proximally and distally. MPD normal in size. Findings are most suggestive of a sidebranch IPMN. No associated abnormal wall nodularity or postcontrast enhancement seen. However based on size criteria (greater than 3 cm), follow-up endoscopic ultrasound is recommended for cyst aspiration.2.Bilateral adrenal nodules with loss of signal on the out of phase sequence confirming intravoxel fat and compatible with benign adenomas.3.Benign hepatic hemangioma of hepatic segment 6.4.Nonspecific postcontrast enhancement of the right posterior iliac bone extending to the SI joint, similar signal characteristics noted to a lesser extent in left iliac bone. No signal abnormality on the precontrast T1 or coronal T2 sequences, and this is of uncertain clinical significance.