Reason: 6-month follow up of IPMNs History: none ABDOMEN:LIVER, BILIARY TRACT: Stable subcentimeter hemangioma in the right hepatic lobe (series 20/221). No biliary ductal dilation.SPLEEN: No significant abnormality noted.PANCREAS: Multiple unchanged small cystic foci throughout the pancreas, most compatible with IPMNs. Reference largest focus in the pancreatic body/tail measures up to 10 x 10 mm, previously 10 x 10 mm (series 17/22). Reference largest focus in the pancreatic head measures 6 x 6 mm, previously 6 x 6 mm (series 17/28). No suspicious enhancement or mural nodularity.Main pancreatic duct is normal in caliber, though there is stable mild relative dilation of the pancreatic duct in the tail upstream from the reference pancreatic body/tail lesion described above.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.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 pancreatic cystic lesions most consistent with intraductal papillary mucinous neoplasms measuring up to 10 x 10 mm. No suspicious features. Continued follow-up is recommended.