64 year-old female history of left hepatectomy for multiple hepatic adenoma now with elevated alkaline phosphatase and fever. The study is limited due to patient motion.ABDOMEN:LIVER, BILIARY TRACT: Status post recent extended left hepatectomy and segment 6 segmentectomy with adjacent surgical drain present. Small amount of perihepatic ascites. No drainable fluid collections. No intra or extra hepatic biliary ductal dilatation.Scattered, smaller, presumed hepatic adenomas, are grossly unchanged compared to the prior CT.Status post cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: 8 mm cystic lesion at the body/head junction likely represents an IPMN. Additional similar appearing cystic focus present near the inferior aspect of the uncinate process measuring 6 mm.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Small renal cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Small right pleural effusion with associated basilar atelectasis/consolidation. Mild subsegmental atelectasis left lower lobe. Anasarca.
1. Postoperative changes in the liver as above with no evidence of drainable fluid collections. Small volume ascites.2. No intra or extrahepatic biliary ductal dilation.3. Small right pleural effusion and basilar atelectasis/consolidation.4. Small hepatic lesions presumably representing adenomas are unchanged from prior CT.5. Two small cystic lesions in the pancreas as above likely representing IPMNs.