64-year-old female status distal pancreatectomy for IPMN and in mid March 20, 2015 percent for follow-up. ABDOMEN:LIVER, BILIARY TRACT: Common bile duct is prominent measuring up to 12 mm proximally, unchanged. No evidence of choledocholithiasis, strictures, or mass. There is persistent unchanged mild intrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: Postoperative changes of distal pancreatectomy. Again noted are multiple subcentimeter outpouchings from the pancreatic duct in the pancreatic body. The reference pancreatic duct outpouching in the pancreatic head measures 14 mm (series 9, image 5), previously measuring 14 mm.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Previously noted saccular left renal artery aneurysm is no longer present; findings compatible with history of aortorenal artery bypass graft.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Postoperative changes of distal pancreatectomy.2.Stable pancreatic head main duct IPMN. 3.Postoperative changes of left aortorenal artery bypass graft.