70-year-old male with ultrasound showing pancreatic lesions ABDOMEN:LIVER, BILIARY TRACT: Status post liver transplant and portal vein stent with with associated susceptibility artifacts. Hypertrophy of the left lobe of the liver and fissural prominence may represent cirrhosis. Subcentimeter T2 hyperintense lesions in segment two and five compatible with liver cysts. Trace subhepatic fluid. SPLEEN: Trace amount of perisplenic fluid. Nonenhancing T1 isointense lesion in the spleen.PANCREAS: Lobulated cystic lesion in the mid body of the pancreas measures 11 x 8 mm with identifiable communication with the main pancreatic duct. An additional 6 x 7 mm cystic lesion in the head of the pancreas with identifiable communication with the main pancreatic duct.A 4 x 5 mm cystic outpouching from the proximal main pancreatic duct, just prior to the ampulla, is also identified. No associated abnormal enhancement is associated with these lesions. The main pancreatic duct is normal in caliber. ADRENAL GLANDS: Small left adrenal gland nodule measuring 8 x 9 mm with signal dropout on out of phase compatible with an adenoma.KIDNEYS, URETERS: There is a 1.4 x 1.4 cm renal cyst in the right superior pole.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Diastases of the rectus abdominal muscles.OTHER: No significant abnormality noted.
1.Multiple cystic pancreatic lesions communicating with the main pancreatic duct compatible with IPMN without concerning features as described above.2.Trace perisplenic and perihepatic ascites.