51-year-old female patient with upper quadrant pain, ascites. LIVER: The liver measures 14.1 cm in length. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.2 m/s.GALLBLADDER, BILIARY TRACT: The gallbladder is not visualized. There is no intra- or extrahepatic biliary ductal dilatation. The common bile duct measures 3 mm in diameter.PANCREAS: There is a 2.9 x 2.1 x 2.9 cm cystic lesion near the head of the pancreas with thick walls and dependent debris within it.RIGHT KIDNEY: The right kidney measures 10.1 cm in length. No evidence of hydronephrosis.OTHER: The left kidney measures 9.7 cm in length. No evidence of hydronephrosis.The spleen measures 7.3 cm in length.
Cystic lesion near the head of the pancreas for which dedicated contrast enhanced CT is recommended.