Female 81 years old with a cystic pancreas mass. Revaluate for change in size in 1 year. ABDOMEN:LIVER, BILIARY TRACT: The liver is smooth in contour. Mild atrophy of the right hepatic lobe appears similar to the previous exam. There is diffuse loss of signal on out of phase imaging indicating hepatic steatosis. No suspicious hepatic lesion. No intra or extrahepatic biliary ductal dilatation. There is unchanged thrombosis of the right portal vein branch with multiple collateral. The left and main portal veins are patent. Narrowing of the portal vein and the portal splenic confluence is unchanged.SPLEEN: No significant abnormality noted.PANCREAS: The pancreas is atrophic. The duct is not dilated. There are innumerable cystic lesions, some of which appear to communicate with the pancreatic duct, are seen throughout the pancreas as on the previous exam. No nodularity, enhancement or restricted diffusion within the cysts to suggest malignancy. The reference pancreatic tail lesion measures 1.6 x 1.3 cm (series 9, image 50).ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Subcentimeter right lower pole renal cyst.RETROPERITONEUM, LYMPH NODES: Tortuous aorta.BOWEL, MESENTERY: Extensive sigmoid colon diverticulosis.BONES, SOFT TISSUES: Lower thoracic spine anterior wedge deformity is unchanged.OTHER: No significant abnormality noted.
Numerous cystic pancreatic lesions most suggestive of IPMNs are not significantly changed.