53-year-old female with metastatic PNET with liver metastasis and pancreatic primary intact ABDOMEN:LIVER, BILIARY TRACT: Interval increase in multiple right liver lobe T2 hyperintense metastatic lesions. The largest lesion in segment seven measures 3.0 x 3.1 cm, previously 2.3 x 2.4 cm (series 6, image 16). New hepatic segment four and segment six lesions.Status post cholecystectomy. No intrahepatic or extrahepatic biliary ductal dilatation. Hepatic steatosis.SPLEEN: Splenule.PANCREAS: Redemonstrated is an enhancing pancreatic head masslesion with central necrosis measuring 2.7 x 2.1 cm, previously 2.2 x 1.5 cm (series 11, image 303). Abrupt cessation of the main pancreatic duct at the level of the mass. Upstream from the lesion, the pancreatic duct measures 4 mm. There is a small side branch can been in the distal body/tail. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Horseshoe kidney. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Findings compatible with disease progression. Increased size of pancreatic head masslesion. Interval increase in size and number of liver metastasis.