History of Whipple procedure for a benign obstructing ampullary mass, specifically a pancreatic type IPMN. ABDOMEN:LIVER, BILIARY TRACT: Postsurgical changes of a Whipple procedure including a hepaticojejunostomy. No intrahepatic or extrahepatic biliary ductal dilatation. The liver is normal in morphology, size, signal intensity and enhancement without a discrete lesion.SPLEEN: No significant abnormality noted.PANCREAS: Postsurgical changes of a Whipple procedure with pancreatico-enterostomy.There is interval increase in near diffuse pancreatic ductal dilatation up to 8 mm (series 12/4). There is a focal narrowing at the level of the residual pancreatic body with approximately 50% caliber change (series 7/48).No stigmata of acute or chronic pancreatitis. No measurable peripancreatic fluid collection.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral simple renal cysts are unchanged.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Postsurgical changes of the anterior abdominal wall.OTHER: No significant abnormality noted.
1.Interval increase in near diffuse pancreatic ductal dilatation up to 8 mm without an obstructing mass/lesion suggesting stenosis at the pancreatico-enterostomy anastomosis. There is also an approximately 50% focal stenosis at the level of the residual pancreatic body.2.No stigmata of acute or chronic pancreatitis. No fluid collection.3.Hepaticojejunostomy without evidence of complication.