62-year-old female with history of pancreatic body cyst. ABDOMEN:LIVER, BILIARY TRACT: No suspicious hepatic lesions. Mild dilation of the common bile duct measuring up to 11 mm with smooth distal tapering and no evidence of distal obstructing stone or mass. This is likely a normal finding in this patient status post cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: There is a multiloculated cystic lesion in the pancreatic body with connection to the pancreatic duct and measuring up to 14 x 10 mm (series 7/25), most compatible with side branch IPMN. No significant enhancement or mural nodularity. Main pancreatic duct is normal in caliber. Normal physiologic response to secretin.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Small cyst in the left kidney superior pole. Other subcentimeter T2 hyperintense lesions in both kidneys are too small to characterize but likely due to additional cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Mild S-shaped scoliosis of the thoracolumbar spine.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Cystic lesion in the pancreatic body as detailed above, most compatible with sidebranch IPMN. Continued follow-up is suggested.