16-year-old female patient with history of pancreatic lymphangioma status post distal pancreatectomy and splenectomy in March 2015. Now with recurrent left-sided pain, similar to how she presented before surgery. Assess pancreatic duct, evaluate for recurrence of lymphangioma. ABDOMEN:LIVER, BILIARY TRACT: No focal hepatic lesion is identified. There is no intra or extrahepatic biliary ductal dilatation. The common bile duct is normal in diameter without dominant stricture.SPLEEN: Splenectomy has been performed.PANCREAS: Distal pancreatectomy has been performed. No dilatation of the main pancreatic duct. No focal pancreatic lesion is identified.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: A fluid-filled mass within the left retroperitoneum has been resected. A few small cystic foci are noted just superior and posterior to the left renal vein, along the inferior margin of prior tumor, which are nonspecific. Otherwise, there is no specific evidence of residual or recurrent disease.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Numerous bilateral ovarian follicles are present. The uterus is normal in appearance.BLADDER: No significant abnormality noted.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.Changes of the distal pancreatectomy and splenectomy without specific evidence of residual or recurrent disease; a few cystic foci along the inferior margin of the tumor are nonspecific and should be followed on subsequent imaging.2.No specific findings to account for the patient's symptoms in the abdomen or pelvis.