History of abdominal pain and anemia status post Roux-en-Y gastric bypass. Outside CT showed 1.9 cm mass lesion in the duodenal bulb of the excluded stomach. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Postsurgical changes from Roux-en-Y gastric bypass. There is no enhancing mass lesion at the duodenal bulb at the site of abnormality reported on outside hospital CT. This likely represented fluid within peristalsing bowel.The bowel is otherwise normal in appearance.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Small uterine fibroids and ovarian cysts.BLADDER: No significant abnormality noted.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.No enhancing mass lesion at the duodenal bulb. Abnormality seen on CT likely represent peristalsis and intraluminal fluid. 2.Postsurgical changes from Roux-en-Y gastric bypass without evidence of complication or acute abnormality.