39-year-old man with history of epigastric abdominal pain and family history of pancreatic cancer. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in signal and morphology. There is no intrahepatic or extrahepatic biliary ductal dilatation. The gallbladder is normal.SPLEEN: The spleen is enlarged measuring 13.5 cm in length. PANCREAS: Punctate T2 hyperintense lesions within the pancreatic head, which is nonspecific but may represent a side branch IPMN (series 4/21). ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Focal lateral left midpole cortical scar. Kidneys are otherwise normal in appearance.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: There is mild dilatation of a short length of small bowel in the right upper quadrant.BONES, SOFT TISSUES: Vertebral body hemangioma noted in L1, L2 and L3.OTHER: No significant abnormality noted.
1.Mild dilatation of a short length of small bowel in the right upper quadrant, which may represent focal ileus.2.Splenomegaly.3.Subcentimeter cystic lesion in the pancreatic head may represent a sidebranch IPMN.