54-year-old male with history of pancreatic cyst. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: Stable 1.5 cm cystic lesion in the mid body of the pancreas with rim enhancement but no solid component. No definite connection between the cystic lesion and the pancreatic duct. Pancreatic duct is normal in caliber. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: There are increased inflammatory changes in the right upper quadrant with findings most suspicious for new complex fistulization. There is an enterocolic fistula seen between a loop of distal small bowel in the right upper quadrant and the proximal transverse colon stump (series 4/29-36), proximal to an ileocolic anastomosis from prior right hemicolectomy. There is also suspicion for a very small or developing enteroenteric fistula between the distal descending duodenum and the proximal transverse colon stump (series 4/28).BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Stable nonspecific 1.5 cm cystic lesion in the mid body of the pancreas, which may be a mucinous neoplasm.2.Increased inflammatory changes in the right upper quadrant with new complex fistulization as detailed above.