When reporting an incidental pancreatic cyst, state its size in millimetres, where it lies, whether it appears to communicate with the main duct, and whether any worrisome features are present, such as a solid component or a dilated main duct. Compare with prior imaging and give the interval change.
Measure the same way each time so that growth can be judged. A report that gives only a vague description leaves the referring doctor unable to decide on follow-up.
- Give the maximum diameter in millimetres and the location.
- Comment on duct communication, wall thickening, nodules and main duct size.
- Compare with previous imaging and state the interval change.
- Say whether further imaging or referral is advised, and by what modality.
Why it matters
Surveillance decisions depend on growth, which can only be judged if reports are comparable.
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