67-year-old male. Status spleen preserving distal pancreatectomy 3/18/14 for neuroendocrine tumor and carcinoma in situ. Evaluate for recurrence. ABDOMEN:LIVER, BILIARY TRACT: Mildly complex cyst in the hepatic dome with thin septations. No bilary ductal dilatation. SPLEEN: No significant abnormality noted.PANCREAS: Post-surgical findings of distal pancreatectomy with no evidence of local recurrence. Mild atrophy of the pancreas with diffuse main ductal dilatation measuring up to 6 mm in the neck. A few small dilated side-branch ducts measuring up to 4 mm in the body, suggestive of side-branch IPMNs.Partial pancreatic divisum.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral renal cysts, including a large exophytic 8.6 cm cyst in the right kidney.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.Post-surgical findings of distal pancreatectomy without evidence of local recurrence.2.Diffuse main pancreatic ductal dilatation measuring up to 6 mm. Small dilated side-branch ducts, suggestive of side-branch IPMNs.