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: 
 
Tiny hepatic cysts are noted. Numerous sub-centimeter gallstones 
are noted. No gallbladder wall thickening is evident. There is no 
biliary dilatation. No pancreatic ductal dilatation is seen. 
Cystic foci are seen involving the pancreatic head and neck, measuring 
up to 2.3 cm, similar to the previous MRI. Contiguity with the 
ductal system may present with the larger foci. Postcontrast imaging 
is motion degraded. No grossly abnormal enhancement is evident. 
No splenic abnormality is noted. Portal, splenic, and superior 
mesenteric venous patency is maintained.
 
No adrenal lesion is seen. A sub-centimeter right renal cyst is 
noted. There is no hydronephrosis.
 
An approximately 1.7 cm polypoid focus is seen in the duodenal 
bulb, fairly similar to the MRI.
 MRI ABDOMEN W WO IV CONTRAST MRCP
 
BARRY BALL       Sex: M  DOB: 19470520  MRN: MR185871
 
Service Date: 2021-06-08 07:17:11
 
MRI ABDOMEN W WO IV CONTRAST MRCP
 
HISTORY: Pancreatic cyst/pseudocyst
 
TECHNIQUE:  Multiplanar multi sequence imaging of the abdomen was 
obtained before and after intravenous contrast administration (16 
cc Dotarem). MRCP images were obtained prior to contrast 
administration.  Those images were reformatted as a 3D sequence by the MRI 
technologist at the dependent workstation.  The reformatted 3D 
images were saved to the PACS system.
 
COMPARISON:  CT scan chest/abdomen/pelvis 01/13/2021 outside MRI 
abdomen 03/09/2020
 
FINDINGS: 
 
Tiny hepatic cysts are noted. Numerous sub-centimeter gallstones 
are noted. No gallbladder wall thickening is evident. There is no 
biliary dilatation. No pancreatic ductal dilatation is seen. 
Cystic foci are seen involving the pancreatic head and neck, measuring 
up to 2.3 cm, similar to the previous MRI. Contiguity with the 
ductal system may present with the larger foci. Postcontrast imaging 
is motion degraded. No grossly abnormal enhancement is evident. 
No splenic abnormality is noted. Portal, splenic, and superior 
mesenteric venous patency is maintained.
 
No adrenal lesion is seen. A sub-centimeter right renal cyst is 
noted. There is no hydronephrosis.
 
An approximately 1.7 cm polypoid focus is seen in the duodenal 
bulb, fairly similar to the MRI.
 MRI ABDOMEN W WO IV CONTRAST MRCP
 
BARRY BALL       Sex: M  DOB: 19470520  MRN: MR185871
 
Service Date: 2021-06-08 07:17:11
 
MRI ABDOMEN W WO IV CONTRAST MRCP
 
HISTORY: Pancreatic cyst/pseudocyst
 
TECHNIQUE:  Multiplanar multi sequence imaging of the abdomen was 
obtained before and after intravenous contrast administration (16 
cc Dotarem). MRCP images were obtained prior to contrast 
administration.  Those images were reformatted as a 3D sequence by the MRI 
technologist at the dependent workstation.  The reformatted 3D 
images were saved to the PACS system.
 
COMPARISON:  CT scan chest/abdomen/pelvis 01/13/2021 outside MRI 
abdomen 03/09/2020
 
FINDINGS: 
 
Tiny hepatic cysts are noted. Numerous sub-centimeter gallstones 
are noted. No gallbladder wall thickening is evident. There is no 
biliary dilatation. No pancreatic ductal dilatation is seen. 
Cystic foci are seen involving the pancreatic head and neck, measuring 
up to 2.3 cm, similar to the previous MRI. Contiguity with the 
ductal system may present with the larger foci. Postcontrast imaging 
is motion degraded. No grossly abnormal enhancement is evident. 
No splenic abnormality is noted. Portal, splenic, and superior 
mesenteric venous patency is maintained.
 
No adrenal lesion is seen. A sub-centimeter right renal cyst is 
noted. There is no hydronephrosis.
 
An approximately 1.7 cm polypoid focus is seen in the duodenal 
bulb, fairly similar to the MRI.
 MRI ABDOMEN W WO IV CONTRAST MRCP
 
BARRY BALL       Sex: M  DOB: 19470520  MRN: MR185871
 
Service Date: 2021-06-08 07:17:11
 
MRI ABDOMEN W WO IV CONTRAST MRCP
 
HISTORY: Pancreatic cyst/pseudocyst
 
TECHNIQUE:  Multiplanar multi sequence imaging of the abdomen was 
obtained before and after intravenous contrast administration (16 
cc Dotarem). MRCP images were obtained prior to contrast 
administration.  Those images were reformatted as a 3D sequence by the MRI 
technologist at the dependent workstation.  The reformatted 3D 
images were saved to the PACS system.
 
COMPARISON:  CT scan chest/abdomen/pelvis 01/13/2021 outside MRI 
abdomen 03/09/2020
 
FINDINGS: 
 
Tiny hepatic cysts are noted. Numerous sub-centimeter gallstones 
are noted. No gallbladder wall thickening is evident. There is no 
biliary dilatation. No pancreatic ductal dilatation is seen. 
Cystic foci are seen involving the pancreatic head and neck, measuring 
up to 2.3 cm, similar to the previous MRI. Contiguity with the 
ductal system may present with the larger foci. Postcontrast imaging 
is motion degraded. No grossly abnormal enhancement is evident. 
No splenic abnormality is noted. Portal, splenic, and superior 
mesenteric venous patency is maintained.
 
No adrenal lesion is seen. A sub-centimeter right renal cyst is 
noted. There is no hydronephrosis.
 
An approximately 1.7 cm polypoid focus is seen in the duodenal 
bulb, fairly similar to the MRI.
    Output: 
    