Reason: 83 yo s/p a distal pancreatectomy/splenectomy 12/2010 for a IPMN. New NIDDM, needs surveillance MRCP 5/2015 History: new DM ABDOMEN:LIVER, BILIARY TRACT: Nonvisualization of the main portal vein with cavernous transformation, unchanged. No suspicious focal hepatic lesion.Status post cholecystectomy. Mild intra and extrahepatic biliary ductal dilatation with the common bile duct measuring up to 9 mm, not significantly changed.SPLEEN: Status post splenectomy.PANCREAS: Status post distal pancreatectomy. Stable linear nonenhancing focus in the mid pancreas. The remaining pancreatic parenchyma demonstrates normal signal intensity and enhancement.There are multiple T2 hyperintense cystic structures in the resection margin the largest of which measures up to 6 mm which are not well seen on the previous examination but overall appear decreased in size compared to the 7/31/2014 examination. The 3 mm cystic lesion within the uncinate process described on the previous examination is not well visualized. The pancreatic duct is not dilated.Mildly prominent peripancreatic lymph nodes appear similar to prior.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Renal cysts, some of which are hemorrhagic, without associated enhancement.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.
1.Multiple subcentimeter cystic lesions within the pancreas overall slightly more prominent than 5/7/2015 (which may be due to technique) but less prominent than 7/31/2014. No definite new lesions are identified.2.Stable portal vein thrombosis with cavernous transformation.