79-year-old female with history of IPMN status post Whipple (4/2014), complicated by biliary anastomotic stricture status post percutaneous drain placement, with internal stent placement (2/2016). ABDOMEN:LIVER, BILIARY TRACT: Serpiginous arterially enhancing foci in the right lobe of the liver favored to be perfusional. There is a T2 mildly hyperintense focus measuring 2.2 x 1.3 cm in segment six of the liver, unchanged, although still nonspecific. There is been significant decrease in intrahepatic biliary ductal dilatation. There is mild residual left intrahepatic biliary ductal dilatation. Status post cholecystectomy and hepaticojejunostomy. There is pneumobilia.SPLEEN: No significant abnormality noted.PANCREAS: Post surgical changes of Whipple procedure. The main pancreatic duct is dilated up to 8 mm with pancreatic parenchymal atrophy. There is minimal decrease in the number of side branches visualized. A pancreatic body side branch type IPMN measures 9 x 8 mm, unchanged (series 9, image 151).ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Right upper pole renal cyst.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Large amount of stool within the colon.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Significant decrease in extent of intrahepatic biliary ductal dilation now with mild left intrahepatic biliary ductal dilation. 2.Decrease in pancreatic ductal dilation with side branch type IPMN that appear unchanged. 