Female 54 years old Reason: pancreatitis, hypertriglyceridemia, gastric outlet obstruction secondary to duodenal stenosis, s/p gastrojejunostomy History: abdominal pain, nausea, vomiting ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. No suspicious hepatic lesions. Hepatic and portal veins are patent. Status post cholecystectomy. Common bile duct measures 10 mm. There is narrowing of the common bile but within the head of the pancreas for a 2 cm length.SPLEEN: Spleen is enlarged. There are multiple large varices in the splenic hilum and the back wall of the stomach.PANCREAS: Creating inflammation has resolved. The pseudocyst in the pancreatic head has resolved. The cystic area in the pancreatic tail measures 2.9 x 2.5 cm. And is unchanged from prior CT. Pancreatic duct is normal in caliber although it is slightly irregular through the body suggesting early stricture formation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Small right renal cyst. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: Small upper abdominal retroperitoneal lymph nodes.BOWEL, MESENTERY: There is a stent between the stomach and the proximal jejunum. Stomach is not distended. The duodenum is normal in caliber.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No ascites.INDEX LESION MEASUREMENTS (Current exam date/time: 11/29/2016 10:00:00)PANCREATIC TAIL LESION: 2.9 x 2.5 cm (Image 24, Series 601); 2.8 x 3.1 cm on prior (10/10/2016) (Image 41, Series 201).
1.Resolution of the pseudocyst in the head of the pancreas. Persistent narrowing of the common bile duct in the head of the pancreas with mild biliary duct dilatation.2.No significant size change in the pancreatic tail cystic lesion representing a pseudocyst.