Pancreas mass. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology, signal intensity and size, measuring 15.7 cm in craniocaudal dimension. No focal suspicious lesion. No biliary ductal dilatation. Normally distended gallbladder without gallstones.SPLEEN: Punctate cyst in the inferior aspect of the spleen. Normal splenic size measuring 10.8 cm in length.PANCREAS: In the pancreatic body tail junction demonstrated again is a 2.2 x 1.8 x 2.3 cm cystic lesion (series 8/17 and series 7/21). The lesion demonstrates a lobular contour and internal thin septations. Previously the lesion measured 2.2 x 1.8 cm in transverse dimension. Internal hypointense foci without enhancement likely represent debris. There is suspected subtle mild enhancement of an anterior mural nodule (series 11/56), likely present on prior MR and definitely seen on CT from 09/26/15. There is no main pancreatic ductal dilatation or distal pancreatic parenchymal atrophy. No new lesion.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Stable left renal cyst. No hydronephrosis or suspicious renal lesion.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.
Stable size of the cystic pancreatic body lesion with suspected internal debris and a mildly enhancing mural nodule in the anterior aspect of the lesion, unchanged from the priors. 