Reason: 72 y/o male with amyloidosis. CT findings of possible 2 cm IPMN. MRCP requested to further evaluate. History: as above ABDOMEN:LIVER, BILIARY TRACT: Cholelithiasis without evidence of cholecystitis.SPLEEN: No significant abnormality noted.PANCREAS: There is a large cystic lesion in the pancreatic head measuring 1.9 x 1.1 cm which appears to communicate with the main pancreatic duct, likely a side branch IPMN. Multiple smaller cystic lesions are seen throughout the pancreas, also likely small side branch IPMNs.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral renal cysts. There is layering intrinsic T1 hyperintensity within an exophytic left renal cyst, likely hemorrhagic/mucinous.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Mild diverticulosis without evidence of diverticulitis. The transverse colon in the region of the hepatic flexure is unremarkable.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Cystic lesion in the pancreatic head likely represents a sidebranch IPMN.2.Multiple additional smaller cystic lesions along the main pancreatic duct also likely represent side branch IPMNs.