50-year-old female patient with history of desmoid tumor. Evaluate for progression. ABDOMEN:LIVER, BILIARY TRACT: Again seen are two mildly T2 hyperintense arterial enhancing lesions in segment 2 and segment 7 of the liver that do not significantly retain contrast on delayed imaging. The common bile duct is mildly enlarged and measures up to 7 mm in maximal diameter. There is no obvious mass lesion or obstructing cholelithiasis.SPLEEN: No significant abnormality noted.PANCREAS: No mass lesions seen.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Mass abutting the inferior aspect of the pancreatic body currently measures 7.7 x 6.2 x 3.5 cm (axial series 12 image 61 and coronal series 9 image 32), previously 7.7 x 7.1 x 4.3 cm. This mass is again noted to encase and attenuate the SMV and SMA, which remain patent.BOWEL, MESENTERY: There are two broad-based ventral hernias in the central and right abdomen containing loops of bowel without evidence of complication.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Again seen are multiple uterine masses, which appear to be stable compared to prior examination. The majority of these masses have signal characteristics consistent with fibroids. However, again seen is a well-defined T2 intermediate signal intensity lesion in the right uterine fundus, which currently measures 4.5 x 3.3 cm (series 29 image 6), previously 5.5 x 3.9 cm.Bilateral ovarian cystic foci and a small amount of free fluid are again noted. A left ovarian cyst measures 4.1 cm in maximal dimension (series 29 image 22), previously 3.7 cm. Numerous nabothian cysts are again noted.BLADDER: No significant abnormality noted.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.Minimal interval decrease in size of patient's known mesenteric-based desmoid tumor.2.Mild enlargement of the common bile duct without obvious mass lesion, cholelithiasis or pancreatic head lesion. ERCP can be obtained as clinically indicated.3.Indeterminate right fundal uterine mass has minimally decreased compared to prior examination. 4.Bilateral cystic foci in the ovaries are likely physiologic follicles.