History of pancreatic mass, please evaluate. Per Epic notes, prior outside imaging showed splenic lesion and incidental 3 mm uncinate process mass.. ABDOMEN:LIVER, BILIARY TRACT: The liver demonstrates normal signal intensity without focal lesions. No biliary ductal dilatation. SPLEEN: There is a 2.8 x 3.3 x 3.1 cm mass within the spleen (series 7, image 11). The mass demonstrates peripheral low signal rim, increased T2 signal centrally, decreased T1 signal centrally, and does not enhance. These features are most consistent with a cyst from prior trauma.PANCREAS: The pancreas demonstrates normal signal intensity and enhancement. The pancreatic duct is normal in caliber. There is a 3 mm cystic focus within the pancreatic head which is nonspecific and too small to characterize.ADRENAL GLANDS: There is a 5 mm nodule within the left adrenal gland which demonstrates loss of signal on T1 out of phase images compatible with a benign adenoma.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.Nonspecific 3 mm cystic focus in the pancreatic head, too small to characterize. Normal-appearing pancreatic duct and biliary system.2.Cyst in the spleen measuring 3.3 cm, likely post traumatic.3.5 mm left adrenal adenoma.