Reason: s/p distal pancreatectomy/splenectomy in 2013 for IPMN - please eval for recurrence History: IPMN ABDOMEN:LIVER, BILIARY TRACT: Punctate T2 hyperintense lesions, likely cysts. No suspicious hepatic lesions. No intrahepatic or extrahepatic biliary ductal dilatation.SPLEEN: Status post splenectomy.PANCREAS: Postsurgical changes of distal pancreatectomy and splenectomy.Subcentimeter cystic lesions within the pancreatic body which appear to communicate with the main pancreatic duct are overall stable. The largest of these measures 1.6 x 0.8 cm (8/36), previously 1.6 x 0.7 cm. The main pancreatic duct is nondilated. No enhancing components.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral T2 hyperintensities, likely cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: A nonenhancing T2 hyperintense collection along the anterior abdominal wall is decreased in size measuring 0.7 x 5.0 cm (4/30), previously 2.0 x 6.2 cm. There is decreased T1 signal compared to the prior exam likely representing evolution of blood products.OTHER: No significant abnormality noted.
1.Cystic lesions in the pancreatic body are stable and likely represent side branch IPMNs. No suspicious features or dilatation of the main pancreatic duct.2.Chronic hematoma along the anterior abdominal wall is decreased in size.