79-year-old female with left upper quadrant and left lower quadrant pain ABDOMEN:LUNG BASES: Mild bronchiectasis and nonspecific, careful increased densities at the lung bases, not significantly changed from previous study.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: Interval increase in the size of the previously described hypodense lesion in the neck of the pancreas. This lesion now measures 2.5 x 1.7 cm on image number 38, series number 3. Left of IV contrast limits optimal evaluation of this lesion. MRI is recommended for further evaluation.ADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Right lower pole punctate nonobstructing stone.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:UTERUS, ADNEXA: Right adnexal cystic lesion is unchanged measuring 4.2 x 4.2 cm on image number 112, series number 3. Left adnexal solid-appearing lesion measures 6.4 by 5 cm on image number 109, series number 3, slightly increased in size compared to previous CT.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
Limited study lack of IV contrast. Right renal nonobstructing stone.Slight interval increase in the size of the cystic lesion in the head of the pancreas. MRI of the pancreas is recommended for further evaluation.Interval minimal increase in the size of the left adnexal solid lesion. Ultrasound may be helpful for further evaluation.