54-year-old male with pancreatic lesion, assess for IPMN. ABDOMEN:LIVER, BILIARY TRACT: Subcentimeter nonenhancing T2 hyperintense foci of the right hepatic lobe are likely small cysts (series 7 images 6, 21). Otherwise normal parenchyma. No intra or extrahepatic biliary ductal dilatation. Normal gallbladder.SPLEEN: No significant abnormality noted.PANCREAS: Stable appearance of a 4 mm cystic lesion of the pancreatic tail without clear communication to the pancreatic duct, likely a sidebranch IPMN. No pancreatic ductal dilatation. The pancreatic duct measures less than 3 mm in diameter.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No hydronephrosis or nephrolithiasis. Bilateral punctate T2 hyperintense foci are too small to fully characterize.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Trace bilateral pleural effusions.
1.Stable 4 mm cystic lesion of the pancreatic tail, likely a sidebranch IPMN. 