65-year-old male with history of cirrhosis and pancreatic cyst seen on CT. Evaluate. ABDOMEN:LIVER, BILIARY TRACT: Nodular hepatic contour with widening of the fissures consistent with cirrhosis. Previously seen arterially enhancing lesions are not evident on the current examination. There is a linear arterially enhancing focus in segment 4A near the liver capsule which does not demonstrate washout and is likely a perfusion defect.SPLEEN: Multiple subcentimeter hypointense foci throughout the spleen, most likely secondary to iron deposition.PANCREAS: No pancreatic ductal dilatation. There is a minimally complex T2 hyperintense lesion in the pancreatic head that measures 1.2 x 0.9 cm (series 10, image 26), previously measuring 1.6 x 1.2 cm; this lesion has a small enhancing septation. Multiple subcentimeter T2 hyperintense foci within the pancreas, likely side branch type IPMN.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: Paraesophageal varices are noted.
1.Minimally complex pancreatic head lesion as above. Follow-up is recommended.2.Multiple pancreatic side branch type IPMNs.3.Cirrhosis without evidence of nodular arterially enhancing suspicious lesion.