73-year-old female. Evaluate for neoplasm and/or metastasis status post Whipple. ABDOMEN:LUNG BASES: No significant abnormality noted. Bilateral breast implants present.LIVER, BILIARY TRACT: There is a small amount of pneumobilia which is a normal finding status post Whipple. No focal hepatic lesions are identified. Patient status post cholecystectomy.SPLEEN: Multiple subcentimeter hypodense lesions within the spleen are nonspecific in appearance, but given the lack of lesions within the liver are more likely to represent benign lesions rather than metastatic disease. Calcified granuloma present in the spleen.PANCREAS: Patient is status post Whipple procedure. No mass is identified in the surgical bed. The remnant pancreatic duct is mildly dilated.ADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Hypodense lesion in both kidneys likely represent cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: There is some infiltration of mesenteric fat anterior to the surgical bed. This likely represents postsurgical changes but attention should be paid to this area on subsequent examinations.BONES, SOFT TISSUES: Postsurgical change are identified in the anterior abdominal wall.OTHER: No significant abnormality notedPELVIS:UTERUS, ADNEXAE: An exophytic mass arising from the uterus likely represents a fibroid uterus. However, this is nonspecific by CT and could be further evaluated with gynecologic ultrasound or MRI as clinically indicated.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: Degenerative changes affect the lower lumbar spine. A sclerotic focus is in the right iliac wing may represent a large bone island but is nonspecific. A smaller sclerotic focus in the left iliac wing adjacent to the SI joint is also nonspecific.OTHER: No significant abnormality noted
1. No definite evidence of metastatic disease. 2. Postsurgical changes from the Whipple procedure including some infiltrative changes near the resection site. This should be followed on subsequent exams.3. Other findings as described above.