69-year-old woman with history of Crohn's disease status post ileostomy and pancreatic lesion seen on MR enterography. ABDOMEN:LIVER, BILIARY TRACT: There is stable hepatomegaly, otherwise the liver is normal in signal and morphology.The gallbladder is normal and there is no intra or extrahepatic biliary ductal dilatation. Nodule adjacent to the gallbladder fundus (401/8) is unchanged from the prior examination.SPLEEN: No significant abnormality noted.PANCREAS: A 10 x 6 mm T2 hyperintense, nonenhancing pancreatic tail lesion with simple septation is again noted (301/26) and unchanged in size from the prior examination on which it measured 10 x 6 mm. Additional, 8 mm T2 hyperintense focus without enhancement in the pancreatic body (701/42) and additional tiny foci of T2 hyperintensity communicate with the pancreatic duct and are stable. There is no pancreatic ductal dilatation. No additional focal pancreatic parenchymal lesions are identified.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Multiple bilateral renal cysts are stable. The kidneys are otherwise normal without hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: The patient is status post colectomy with a right midabdominal end ileostomy. There is mild, asymmetric enhancement of the small bowel within the ostomy, but no secondary signs of inflammation. No evidence of obstruction.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Stable subcentimeter cystic pancreatic lesions, likely sidebranch IPMNs.2.Stable gallbladder fossa lymph node.3.Mild enhancement of the small bowel within the ostomy without proximal dilation, mild inflammation not excluded.