Reason: 61 M with metastatic pancreatic neuroendocrine tumor, please eval for interval change from prior MRI. History: none. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Numerous arterially enhancing hepatic metastases are overall not significantly changed. A right segment 5 lesion measures 2.2 x 1.9 cm (series 10/50), unchanged. A right segment 5/6 reference lesion measures 2.1 x 2.0 cm (series 10/65).Mild intrahepatic biliary ductal dilatation is unchanged. Gallbladder sludge.SPLEEN: No significant abnormality noted.PANCREAS: Ill-defined lesion in the pancreatic head measures 2.2 x 1.7 cm (series 10/72), unchanged. No pancreatic ductal dilatation.ADRENAL GLANDS: Mild nonspecific thickening of the left adrenal gland, similar to prior exam..KIDNEYS, URETERS: Left renal cysts and left renal atrophy are unchanged.RETROPERITONEUM, LYMPH NODES: Mildly enlarged peripancreatic node (series 10/62), not significantly changed.BOWEL, MESENTERY: Stable descending duodenal diverticulum.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
No significant interval change in pancreatic head mass and numerous hepatic metastases.