There is an ill-defined hypovascular lesion at the pancreatic head measuring approximately 1.5 cm, just adjacent/posterior to the CBD. This appears to have some restricted diffusion.
The larger tail of the pancreas cystic lesion has increased, measuring now approximately 6.0 x 5.5 x 6.2 cm (opposed to 4.5 x 4.0 x 5.2). Also, there is a marginal increase in the uncinate process cyst, measuring 3.0 x 2.6 x 2.4 cm (opposed to 2.5 x 2.5 x 2.2 cm). Other small pancreatic cysts measure less than 1.0 cm and are unchanged. All the cysts have thin walls and do not show solid enhancing components. The main pancreatic duct is not dilated. The pancreatic parenchyma has otherwise normal signal intensity.
There is no biliary tree dilatation. The liver, spleen, and adrenal glands have normal appearances. Both kidneys have multiple simple cortical cysts. There is no lymphadenopathy or free fluid within the superior abdomen.