27-year-old male patient with history of abdominal paraganglioma and SDHA germline mutation consistent with hereditary paraganglioma syndrome. Evaluate for new sites. Neck:No specific evidence of tumor or metastatic disease in the neck.Chest:No specific evidence of tumor or metastatic disease within the mediastinum.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: The main pancreatic duct within the head and body is mildly dilated, which appears new from a prior CT. No definite obstructing lesion is identified, but this is incompletely evaluated. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.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.No definite new sites of disease.2.Interval mild dilatation of the pancreatic duct which is new from a prior CT from 7/29/2015; dedicated MRCP with contrast is recommended for further evaluation. Findings discussed via telephone with Dr Churpek at 1123 hrs on 8/22/2016.