62 year-old female status post mucinous cystadenoma resection which contained a focus of invasive adenocarcinoma. Evaluate for metastatic pancreatic cancer. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Subcentimeter hypodense lesion near the falciform ligament in the left lobe of the liver is nonspecific (image 20/112 on series number 4).SPLEEN: Status post splenectomyPANCREAS: Patient is status post distal pancreatectomy. Within the distal remaining pancreas there is a 3.1x 1.9 cm cystic collection which may be in continuity with the pancreatic duct, however this is unclear. There is no solid enhancing component to this collection. The pancreatic remnant is otherwise unremarkable.ADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Bilateral renal cysts.RETROPERITONEUM, LYMPH NODES: Small aortocaval and mesenteric lymph nodes are not pathologically enlarged by CT criteria.BOWEL, MESENTERY: A small left of midline hernia contains mesenteric fat.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:UTERUS, ADNEXAE: Left adnexal cyst measures 3.8 x 3.6 cm (image 82/112). This can be further evaluated with gynecologic ultrasound or MRI.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
1. No definite evidence of metastatic disease. There is a fluid attenuation collection at the distal portion of the pancreatic remnant as described above.2. Left adnexal cyst which is incompletely evaluated on this examination and should be further evaluated with gynecologic ultrasound or MRI if this patient is post-menopausal.