The following medical description of a pancreas is provided. This is a medical observation from a doctor. The doctor notes one or multiple cysts and their dimensions. From the potentially multiple size values, the doctor is looking for the largest dimension of any of the cyst observations which is called the dominant cyst size. 

    ***Examples: 
    Pancreas: 'There is again noted to be markedly atrophic with fatty replacement, similar to prior study. There is possibly a cystic lesion in the tail the pancreas that measures up to 2.2 cm and possibly, a second adjacent cystic lesion that measures approximately 1.4 cm. These appear similar to prior study. They possibly represent pseudocysts although other cystic lesions of the pancreas do not be excluded. It is also conceivable be simply represent fluid filled small bowel loops although it would be somewhat unusual for them to have the same appearance over multiple studies. 
    Dominant Cyst Size: 2.2 cm

    Pancreas: 'Numerous pancreatic cystic lesions are redemonstrated measuring up to 2.1 cm. These are nonspecific and may represent sequela of prior pancreatitis or sidebranch IPMNs. These can be reassessed with MRI in one year.'
    Dominant Cyst Size: 2.1cm

    Pancreas: 'Pancreas: Pancreas appear atrophic. Hypodense lesion seen in the uncinate process of the pancreas (series 6 images 519) measuring 1.6 x 2.3 cm previously measuring 2.4 x 1.0 cm. Another well-defined cystic attenuation lesion seen in the body of the pancreas extending inferiorly measuring 1.6 x 2.1 cm and tail of the pancreas measuring 1.2 x 1.6 cm not well appreciated on prior scan due to movement artifact measuring approximately 1.5 cm on 9/7/2021.'

    Dominant Cyst Size: 2.4 cm

    Pancreas: 'Pancreas: A 3 cm x 2.7 cm pancreatic tail cystic lesion has increased in size from prior (previously 2.4 cm x 1.9 cm). An approximately 1 cm pancreatic neck cyst, now measures about 3.1 cm cyst associated centimeters previously along the maximum transverse dimension. Remainder of the pancreas is unchanged.'
    Dominant Cyst Size: 3.1 cm

    Pancreas: 'PANCREAS: Evaluation of the pancreatic cystic lesions is limited by CT technique. Although the largest lesion in the body of the pancreas is stable, measuring up to 14 mm. No pancreatic ductal dilatation. No findings of acute pancreatitis.'
    Dominant Cyst Size : 14 mm
    
    ***Input
    Pancreas:  
FINDINGS:
 
There is a small hiatal hernia. The lung bases are clear. Evaluation of the kidneys is somewhat limited by wrap artifact, present on many of the sequences. There are multiple bilateral renal cysts, many of which are simple though several contain hemorrhagic/proteinaceous debris. The majority of these cysts are unchanged in size though a few have slightly increased as evidenced by a 1.6 cm right lower pole renal cyst, previously measuring 1.4 cm (image 23 series 4).  A 2.7 cm right lower pole renal cyst with a few thin septations is unchanged in size and appearance, and is most suggestive of a Bosniak 2F lesion.  A tiny right renal angiomyolipoma is unchanged (image 15 series 9).
 
The liver, gallbladder, spleen, pancreas and adrenal glands are unremarkable with the exception of cholelithiasis, a tiny right adrenal myelolipoma and pancreatic cystic lesions measuring up to 2.1 cm in the body which could represent sidebranch IPMNs or the sequela of prior pancreatitis (previously measuring up to 2.1 cm). The hepatic vasculature is patent. No enlarged abdominal lymph nodes are seen. Abdominal aortic dissection is unchanged from 6/3/2013. No aggressive osseous lesions are detected.
 
    Output: 
    