Evaluate pancreatic ductal dilation, status post Whipple procedure for IPMN 4/11/2014 ABDOMEN:LUNG BASES: Right basilar scarring / atelectasis.LIVER, BILIARY TRACT: Subcentimeter T2 hyperintense focus in the right hepatic lobe, unchanged. The hepatic vasculature is patent. No biliary ductal dilation.SPLEEN: No significant abnormality noted.PANCREAS: Status post Whipple procedure. The main pancreatic duct measures 9 mm in maximal diameter, previously 8 mm (series 3, image 15). No evidence of parenchymal or intraductal mass.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral renal cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Postsurgical changes related to prior Roux-en-Y.BONES, SOFT TISSUES: Stable T2 hyperintensities within lower thoracic vertebral bodies are compatible with vertebral hemangiomas.
Mildly increased pancreatic ductal dilation without evidence of ductal or parenchymal mass. Given the findings and surgical history, an anastomotic stricture is the favored etiology; main duct IPMN is considered less likely. 