Male 73 years old with hypoglycemia. Evaluate for insulinoma. Evaluation is limited by motion artifact.ABDOMEN:LIVER, BILIARY TRACT: No enhancing liver lesion, biliary ductal dilatation or ascites.SPLEEN: No significant abnormality noted.PANCREAS: Limited evaluation due to motion artifact. Within the limitations of this exam no pancreatic mass is identified. There is no pancreatic ductal dilatation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral nonobstructing renal stones. Numerous bilateral renal cysts. RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Generalized colonic dilatation is similar to previous CT and is compatible with the history of ovary syndrome.BONES, SOFT TISSUES: Heterogeneous bone marrow signal may be due to fatty replacement.OTHER: No significant abnormality noted.
1.Limited exam with no evidence of pancreatic lesion.2.Persistent massive colonic dilatation compatible with the patient's history of overuse syndrome.