Reason: 81 yo female with hx of IPMN s/p distal pancreatectomy and splenectomy in 2010; please evaluate for any abnormalities and or recurrence History: IPMN. ABDOMEN:LIVER, BILIARY TRACT: Nonvisualization of the main portal vein with cavernous transformation, unchanged. No suspicious focal hepatic lesion.Status post cholecystectomy. No intrahepatic or extra hepatic biliary ductal dilatation.SPLEEN: Status post splenectomy.PANCREAS: Status post distal pancreatectomy. Previously seen multiple T2 hyperintense pancreatic lesions along the pancreatectomy margin are no longer visualized. Stable 3 mm T2 hyperintense focus in the uncinate. No new lesions. No pancreatic duct dilatation. Stable linear nonenhancing focus in the mid pancreas.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Renal cysts, some of which are hemorrhagic, again noted.RETROPERITONEUM, 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.Previously seen multiple cystic lesions in the distal pancreas along the pancreatectomy margin are no longer visualized. No new lesions.2.Stable portal vein thrombosis with cavernous transformation.