60-year-old female with hyperglycemia and noninsulin-dependent diabetes mellitus, pancreatic body neuroendocrine tumor less than 2 cm. Patient needs repeat imaging in 3 months to evaluate any change in the lesion. ABDOMEN:LIVER, BILIARY TRACT: Mild fissural prominence suggesting chronic liver disease. The no focal lesion or biliary ductal dilatation.SPLEEN: Status post splenectomy.PANCREAS: Subtle T2 hyperintense focus of the proximal pancreatic body (axial series 7 image 34). Focal enhancement is noted on the postcontrast subtraction series (axial series 102 image 66) Similar appearing prominent peripancreatic and periportal lymph nodes. No pancreatic ductal dilatation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Stable nonspecific right cardiophrenic lymph node. Prominent right periportal lymph node adjacent to the caudate lobe measuring 1.9 x 1 cm (axial series 5 image 25) is again noted. Other prominent periportal lymph nodes are also unchanged (axial series 7 images 24, 31, 34).BOWEL, MESENTERY: Small hiatal hernia.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Subtle T2 hyperintense focus of the proximal pancreatic body with corresponding focal enhancement on the postcontrast subtraction series. This hyperintense focus corresponds to the location of a subtle enhancing lesion seen in retrospect on the 5/2/2016 CT exam (CT series 804 image 51).