71-year-old female with abdominal pain ABDOMEN:LUNG BASES: Right lower lobe calcified granuloma.LIVER, BILIARY TRACT: Moderate intra-/extrahepatic biliary ductal dilatation, not significantly changed.Enhancing lesion at the dome of the liver, most likely hemangioma, unchanged.SPLEEN: No significant abnormality notedPANCREAS: Mild pancreatic ductal dilatation is seen. The body and tail of the pancreas remain atrophic.ADRENAL GLANDS: 4.2 x 3.4 cm left adrenal nodule, increased in size and previously described as an adenoma on MRI 11/07.KIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:UTERUS, ADNEXA: Atrophic versus absent.BLADDER: A Foley catheter is looped within the bladder and can be retracted.LYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: Again noted is a linear hyperdense object in the mesentery with surrounding fat stranding/granulation tissueA metallic clip is seen adjacent to the rectosigmoid colon, unchanged.No evidence of bowel obstruction.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
Linear hyperdensity within the mesentery with associated inflammatory changes, not significantly changed.Left adrenal mass, increased in size. It was previously demonstrated to contain microscopic fat on MRI from 11/07, compatible with an adenoma. However, given increase in size, biopsy can be consideredStable biliary and pancreatic ductal dilatation.No evidence of obstruction.