Known pancreatic lesion. Surgical planning. ABDOMEN:LIVER, BILIARY TRACT: Four lesions are identified within the liver, unchanged in size since prior CT December 17, 2015. The largest is located within segment 7 measuring 2.2 x 1.6 cm (Series 6, image 15), with peripheral contrast enhancement and fill-in on delayed imaging, compatible with a hemangioma. 2 lesions within the hepatic dome are similar in appearance and also likely hemangiomas. A smaller segment 6 lesion measures 0.8 x 0.8 cm (Series 7, image 12), but does not demonstrate contrast enhancement and remains indeterminate. The liver is smooth in contour. There is no biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: There is a complex multilobulated cystic lesion within the pancreas, with the dominant component measuring 5.6 x 4.2 cm (series 6, image 14). An adjacent lobular cystic component measures 1.3 x 1.2 cm (series 6, image 12). The dominant cystic component contains irregular thickening and enhancement of the anterior wall, which was FDG avid on PET/CT August 24, 2015. The pancreatic duct is normal in caliber.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.
1.Complex cystic lesion within the pancreas with mural nodularity, FDG avid on PET/CT August 24, 2015, compatible with metastatic disease.2.Four hepatic lesions are identified, with the 3 larger lesions most likely hemangiomas. A smaller, subcentimeter lesion in segment 6 is indeterminate, but most likely benign.