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:
LUNG BASES: Unremarkable.
 
LIVER: Subcentimeter right hepatic lobe hypodensity is too small to characterize (image 9 series 3).
GALLBLADDER: Status post cholecystectomy.
SPLEEN: Unremarkable.
PANCREAS: Multiple pancreatic cysts are again seen measuring up to 3.8 cm, unchanged since at least 8/29/2018. These are better characterized on prior MRI from 2018.
ADRENALS: Unremarkable.
KIDNEYS: Multiple bilateral renal cysts and hypodensities too small to characterize appear similar compared to prior. Multiple bilateral renal stones are seen measuring up to 7 mm. No ureteral stone is seen. There is no hydroureteronephrosis.
 
BOWEL: Moderate hiatal hernia. Short segment diverticulosis of the proximal sigmoid colon. Moderate to large colonic stool burden.
APPENDIX: The appendix is not confidently visualized on this exam. However, no inflammatory changes are seen in the region of the cecum to suggest appendicitis.
PERITONEUM: There is no ascites or intraperitoneal free air. Status post right inguinal hernia repair.
 
LYMPH NODES: Unremarkable.
VESSELS: Scattered atherosclerotic calcifications in the abdominal aorta and its branches.
 
URINARY BLADDER: A 1.6 cm stone is seen in the dependent portion of the bladder.
PELVIS: Markedly enlarged prostate measuring 7.1 x 8.5 x 8.5 cm ovoid lobulated extension into the bladder base. Metallic density in the lower pelvis near the inferior portion of the pubic symphysis likely correlates with protective penile artery coiling for microsphere embolization of the prostatic artery (as detailed in the report from 7/24/2015).
 
BONES & SOFT TISSUE: Status post posterior decompression and spinal fusion of T10 and T11 without evidence of hardware complication. Status post posterior decompression of L1-L5. There is osseous fusion of the L2 and L3 vertebral bodies. Multilevel degenerative changes of the thoracolumbar spine. 
 
    Output: 
    