Female 68 years old with a stable pancreatic head/neck neuroendocrine tumor. Please evaluate for any changes. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in size and smooth in contour. There are a few scattered T2 hyperintense foci throughout the liver compatible with simple cysts. The segment 7 measures 3.0 x 3.3 cm (series 7/17), unchanged when measured similarly. There is no enhancing hepatic lesion. The hepatic vasculature appears patent.The gallbladder is normally distended without cholelithiasis. The common duct measures up to 9 mm in diameter. No intrahepatic biliary ductal dilatation.SPLEEN: The splenic lesion measures 2.0 x 1.8 cm (series 7/17), previously 2.3 x 2.8 cm, but unchanged in imaging characteristics.PANCREAS: The pancreatic duct is dilated to throughout the tail and body up to 7 mm with abrupt tapering at the level of the pancreatic neck and is again mildly prominent in the ampulla. This is unchanged since the previous exam. At the level of ductal narrowing is a 5 mm hyperenhancing intraductal lesion (series 10013/248), unchanged. Moderate to severe atrophy of the pancreatic body and tail is also stable.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Note is made of a small duodenal diverticulum.BONES, SOFT TISSUES: Degenerative changes affect the spine.OTHER: No significant abnormality noted.
1.Stable 5 mm lesion in the pancreatic head/neck with resulting pancreatic ductal dilatation is compatible with the patient's known intraductal narrowing.2.Interval decrease in size of the splenic lesion.