History of pancreas mass status post resection- Pancreatic intraductal papillary mucinous neoplasm 10/09/2013. Peutz-Jeghers polyposis syndrome ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: Postsurgical changes from a distal pancreatectomy. Anterior to the pancreatic body there is a peripherally thick-walled enhancing lesion measuring approximately 2.6 x 1.7 cm demonstrating intermediate to high T2 weighted signal hyperintensity. This corresponds to the previously seen lesion measuring 1.5 x 2.2 cm on the 5/30/2015. The lesion appears slightly increased in size, irregular in margin and now extends anteriorly into the lesser sac and abuts the stomach. There is no mural nodularity of the cyst wall. In the distal pancreatectomy bed there is an intrinsically T1 hyperintense fluid collection demonstrating no post contrast enhancement suggestive of a postprocedural benign fluid collection, unchanged.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Small umbilical hernia containing nonobstructed small bowel loops.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
The pancreatic body cystic lesion demonstrates mild interval increase in size, new irregular contour and peripheral thick walled enhancement. It now extends anteriorly into the lesser sac and abuts the stomach. Differential considerations include post-aspiration inflammatory changes and neoplasm. 