66-year-old male with history of pancreas mass ABDOMEN:LIVER, BILIARY TRACT: Bone T2 hyperintense lesions scattered throughout the liver some of which are bigger and at least one which is new in segment 5/6.SPLEEN: Splenomegaly measuring up to 18 cm, increased. PANCREAS: Redemonstrated is a 3.7 x 2.9 cm mass in the tail of the pancreas, previously 3.1 x 2.5 cm which follows signal and contrast enhancement of splenic tissue on all sequences.Redemonstrated is a cystic lesion in the body of the pancreas measuring 9 x 6 mm, previously 11 x 7 mm.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No hydronephrosis.RETROPERITONEUM, LYMPH NODES: Mild periportal, aorta caval and mid mesenteric lymphadenopathy, more prominent when compared to the prior exam.BOWEL, MESENTERY: Moderate to large size hiatal hernia. No evidence of bowel obstruction.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Slight interval increase in pancreatic tail mass as described above compatible with intrapancreatic spleen. 2.Mild periportal, aorta caval and mid mesenteric lymphadenopathy, more prominent when compared to the prior exam. Increased splenomegaly. Findings could represent worsening lymphoma. 3.No significant change in pacreatic body cystic lesion may represent sidebranch IPMN.4.Moderate sized hiatal hernia. 