Reason: 63 yo male with hx of PJS (Peutz Jeghers Syndrome) please evaluate for any abnormalities History: PJS. History of distal pancreatectomy for intraductal papillary mucinous carcinoma ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS:Postsurgical changes of distal pancreatectomy. A nonenhancing T1 hyperintense lesion in the pancreatic tail is unchanged in size measuring 1.4 x 1.1 cm (4/29), possibly an old hematoma. Small fluid collection along the anterior aspect of the pancreatic body is no longer evident.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Small subcentimeter bilateral renal cyst. RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Small umbilical hernia containing a loop of bowel without evidence of obstruction. Diverticulosis without evidence of diverticulitis.Evaluation of the small bowel is limited due to poor distention. There are a few soft tissue nodules within the small bowel which may represent polyps. For example, there are soft tissue nodules in the right lower quadrant ileal loops measuring 1.0 x 1.3 cm (15/60) and 15 x 11 cm (15/38). There is also a possible lesion within jejunal loops in the left mid upper abdomen measuring 1.2 x 1.1 cm (15/48).BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Resolution of cystic lesion along the anterior pancreatic body.2.No evidence of intra-abdominal neoplasm.3.A few enhancing nodules within ileal and jejunal small bowel loops may represent polyps.