Female 49 years old Reason: Pt s/p distal pancreatectomy and splenectomy 1/24/14 for a mucinous cystic neoplasm and endocrine neoplasm - please evaluate for recurrence History: mucinous neoplasm ABDOMEN:LIVER, BILIARY TRACT: Liver has a smooth contour. No suspicious hepatic lesion. Hepatic and portal veins are patent. The common bile duct and intrahepatic biliary tree are normal in caliber.SPLEEN: Status post splenectomy. Tiny soft tissue signal foci in postoperative bed (series 3 image 14/series 100 image 53) of unlikely clinical significance, may be mesenteric vessels or nodes, appears to have been present on earlier preoperative exam, tiny splenules also a differential consideration but considered less likely.PANCREAS: Interval distal pancreatectomy with resection of the previously described cystic lesion situated in the distal pancreatic body/tail.ADRENAL GLANDS: Left adrenal nodule measures 1.6 x 1.1 cm, appearing similar to the prior study (46; series 14). There is no signal loss on out of phase sequences to confirm microscopic fat, may be a lipidpoor adenoma but lesion is incompletely characterized on this nondedicated study. KIDNEYS, URETERS: Small renal cysts. No hydronephrosis in either kidney.RETROPERITONEUM, LYMPH NODES: No retroperitoneal lymphadenopathy. No mesenteric lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.
1.Interval resection of the previously described cystic mass in the pancreatic body/tail, without evidence of residual or recurrent disease.2.Stable indeterminate left adrenal nodule. 