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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Done MRI For Pancreatic Cyst. What Should My Next Step Be?

I had a MRI done to look at a cyst that was found on my pancreas on a previous MRI. I am a 42 year old woman. I understand that it has gotten a little smaller but I do not understand the rest of the results. Could you help me and advise me as to what my next actions should be if any? Results= FINDINGS: Correlation is made with the previous MRI examination dated05/03/2012.There is motion artifact on these examinations limiting evaluation.The extrahepatic common duct and visualized intrahepatic bile ducts areunremarkable without filling defect, stricture or abnormal dilatation. Thevisualized pancreatic duct is unremarkable. These findings are similar tothe previous study. A lobulated cystic mass is again identified within theregion of the uncinate process of the pancreas which demonstrates cysticcharacteristics on all pulse sequences without enhancement. The overallsize appeared slightly decreased compared to the previous study currentlymeasuring a maximal transverse dimension of 1.2 cm compared to 1.6 cm onthe previous exam. There is suggestion of a cystic duct remnant which isnot optimally visualized due to motion artifact. Also, there is asuggestion of an accessory bile duct supplying the right hepatic lobearising from the extrahepatic common duct.The visualized portions of the liver, spleen , adrenal glands and kidneysare unremarkable.IMPRESSION:PERSISTENT CYST IN THE UNCINATE PROCESS OF THE PANCREAS SLIGHTLY DECREASEDIN SIZE COMPARED TO THE PREVIOUS EXAM.SMALL CYSTIC DUCT REMNANT.Findings suggestive of an accessory bile duct supplying the right hepaticlobe arising from the extrahepatic common duct.
Sat, 23 Nov 2013
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General Surgeon 's  Response
Hi and welcome to HCM,thank you for your query.
at this point it doesnt require any treatment since there is no growth or obstruction of main pancreatic duct. Also,there is no risk of malignancy.So if you dont have symptoms you dont have to be worried since this is just benign pancreatic cyst which is common accidental finding. All you need is frequent follow up.
Wish you good health. Regards.
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Done MRI For Pancreatic Cyst. What Should My Next Step Be?

Hi and welcome to HCM,thank you for your query. at this point it doesnt require any treatment since there is no growth or obstruction of main pancreatic duct. Also,there is no risk of malignancy.So if you dont have symptoms you dont have to be worried since this is just benign pancreatic cyst which is common accidental finding. All you need is frequent follow up. Wish you good health. Regards.