61-year-old female. Status post distal pancreatectomy/splenectomy for pancreatic endocrine tumor. Evaluate for any abnormalities or recurrence. ABDOMEN:LUNG BASES: Nonspecific right basilar opacity.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: Status post splenectomy.PANCREAS: Postsurgical findings of distal pancreatectomy without evidence of local recurrence. 3.5 x 2.7 cm cm well-circumscribed T1/T2 hyperintense lesion immediately adjacent to the distal end of the residual pancreas without internal enhancement, consistent with a pseudocyst. The pancreatic duct approaches this pseudocyst but without a definite communication. 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.
Post-surgical findings of distal pancreatectomy without evidence of local recurrence. A well-demarcated collection at the distal end of the residual pancreas is most consistent with a pseudocyst.