Reason: Pt is s/p w whipple for IPMN. She needs a 1 year f/u MRCP. History: none ABDOMEN:LIVER, BILIARY TRACT: Peripheral enhancement in the right hepatic lobe on arterial phase which is not seen on subsequent phases is likely perfusional. No suspicious enhancing lesions. Mild pneumobilia, indicating patency of the anastomosis.Mild intrahepatic biliary ductal dilatation with apparent narrowing at the biliary enteric anastomosis (5/86).SPLEEN: No significant abnormality noted.PANCREAS: Postsurgical changes of Whipple procedure. The pancreaticojejunal anastomosis is intact. There is minimal prominence of the mid pancreatic duct. No evidence of pancreatic fistula. The distal pancreas is atrophic. No enhancing tissue within the surgical bed to indicate recurrence.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: Scoliosis.OTHER: Adnexal cysts with a cyst measuring up to 2.4 cm on the left side.
1.No evidence of recurrent or metastatic disease.2.Mild intrahepatic biliary ductal dilatation with narrowing at the biliary enteric anastomosis, suggesting a mild anastomotic stricture.3.Adnexal cysts measuring up to 2.4 cm on left side (individual cysts versus septated multicystic dominant lesion) abnormal in a postmenopausal female. Recommend ultrasound follow-up for these findings.