COMPARISON: CT 08/18/2019
TECHNIQUE: Multiplanar images of the abdomen were obtained at 1.5 Tesla prior to and following administration of IV contrast.
CONTRAST: 16 mL of Dotarem intravenous contrast.
Liver: There is a nodular contour of the liver surface diffusely, consistent with cirrhosis. Several tiny cysts are scattered in the liver. No solid hepatic mass. No unusual enhancement.
Gallbladder: Status post cholecystectomy, with a prominent cystic duct remnant.
CBD: The common bile duct is normal in caliber.
Pancreas: As noted on CT scan, there is a 12 mm cyst involving the posterior body of the pancreas, with some smaller cysts in the pancreatic tail. There is no solid or enhancing pancreatic ductal dilatation. The largest pancreatic cyst is unchanged compared to abdominal CT scans dating back to 11/29/2017.
Spleen: The spleen appears normal.
Adrenal glands: The adrenal glands appear normal.
Kidneys: No mass or hydronephrosis is seen. There are small renal cysts bilaterally.
Aorta: No evidence of aortic aneurysm or dissection is seen.
Lymphatics: No abdominal lymphadenopathy is present.

IMPRESSION: Cirrhosis of the liver. No hepatic mass. Cysts in the body and tail of the pancreas, measuring up to 12 mm in diameter, but without significant progression compared to the CT scan appearance from November 2017.

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