68-year-old woman with history of Crohn's disease and anemia, evaluate for small bowel inflammation. ABDOMEN:LIVER, BILIARY TRACT: The liver is mildly enlarged. There is an 8 mm nodule adjacent to the gallbladder fundus (series 7, image 60). The liver and gallbladder appear otherwise normal.SPLEEN: The spleen appears normal.PANCREAS: There is a 10 x 6 mm cystic lesion in the tail of the pancreas (series 3, image 21) without nodular component or enhancement. The pancreatic duct is normal in size.ADRENAL GLANDS: The adrenal glands are normal.KIDNEYS, URETERS: There are multiple bilateral renal cysts, one of which in the posterior mid right renal pole (series 5, image 6) is mildly complex. The kidneys are otherwise normal.RETROPERITONEUM, LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: The patient is status post total colectomy with end ileostomy in the right mid abdomen. The loops of small bowel appear normal. There is apparent mild enhancement of short segment of small bowel most distal in the subcutaneous soft tissues, however there is no thickening or diffusion restriction.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Patient status post colectomy and end ileostomy without evidence of active inflammation.2.Less than 2 cm, cystic lesion in the pancreatic tail, likely a sidebranch IPMN. A 1-year MR follow-up exam to ensure stability is recommended.3.Nodule adjacent to the gallbladder fundus which is likely a lymph node, but ultrasound can be considered to confirm if clinically warranted.