64-year-old female patient status post Whipple for IPMN in April 2014. Evaluate for recurrence or metastatic disease. ABDOMEN:LIVER, BILIARY TRACT: Postoperative changes from Whipple procedure again noted. No intrahepatic or extrahepatic biliary ductal dilatation. No focal suspicious hepatic lesions. Hepatic stenosis.SPLEEN: No significant abnormality noted.PANCREAS: Again seen are postoperative changes from Whipple procedure and resection of IPMN in uncinate process. There are subcentimeter pancreatic cyst in body and tail (series 8 images 20 and 18), appearing similar compared to prior examination. No pancreatic ductal dilatation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral subcentimeter renal cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Postsurgical changes from Whipple's procedure.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Postoperative changes from Whipple procedure and resection of uncinate processes IPMN. No evidence of recurrent disease.2.Subcentimeter cystic foci in the residual body and tail of the pancreas are stable and likely reflect small IPMNs.