Reason: s/p resection of retroperitoneal sarcoma in 2009 and recurrence in 2010 - please eval for recurrence History: retroperitoneal sarcoma ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: 6 mm cystic focus in the pancreatic body (3/21) a similar to the prior exam. Main pancreatic duct is nondilated.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: There is a focal area of asymmetric fat anterior to the left kidney which is increased in size measuring 6.8 x 5.3 cm (8/25), previously 6.3 x 5.4 cm. A progressively enhancing component measures 2.7 x 1.6 cm (12/54). This region measured 2.5 x 1.4 cm on the prior exam and 1.7 x 1.0 cm on the exam from 6/5/2014.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Asymmetric fat adjacent to the left kidney is slightly increased in size with a slowly increasing enhancing component. Recurrent/residual tumor is suspected.2.Small cystic lesion pancreatic body is similar to the prior exam and may represent a sidebranch IPMN.