51-year-old male with history of fibromatosis, iron deficiency anemia. Evaluate for progression of fibromatosis. ABDOMEN:LIVER, BILIARY TRACT: There is a subcentimeter enhancing segment 5 focus which does not demonstrate washout; this lesion is nonspecific and unchanged going back to 2013 examination.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: There are scattered T2 hyperintense foci in both kidneys without enhancement; findings consistent with cysts. Mild bilateral perinephric stranding is nonspecific.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Reference subtle soft tissue nodule adjacent to the transverse colon is unchanged measuring 1.1 x 1.3 cm (series 4, image 34). Additionally referenced right-sided mesenteric lymph node measures 1.0 x 1.0 cm (series 900, image 103), previously measuring 1.0 x 0.9 cm.BONES, SOFT TISSUES: There is bowel wall thickening, submucosal edema, and fluid involving the mid jejunal loops. Small bowel containing anterior abdominal wall hernia without evidence of bowel obstruction. Stable soft tissue density in the anterior abdominal wall subcutaneous tissues measuring 1.4 x 1.0 cm (series 1200, image 8).OTHER: No significant abnormality noted.PELVIS:PROSTATE/SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.No significant interval change in the referenced soft tissue nodules.2.Inflammatory changes involving mid jejunal bowel loops. Differential considerations include focal enteritis versus early fibrosis of the adjacent mesentery.3.Nonspecific enhancing segment 5 hepatic lesion, unchanged since 2013.