51-year-old female with desmoid tumor. Evaluate for progression. Exam is limited due to the lack of intravenous contrast and respiratory motion artifact. Contrast extravasation as described above. Patient refused repeat contrast infusion.ABDOMEN:LIVER, BILIARY TRACT: The previously described small enhancing lesion in hepatic segment 7 is incompletely evaluated on this noncontrast exam. Similar size and appearance are noted on the T2 sequence (series 1601 image 51).SPLEEN: No significant abnormality noted.PANCREAS: Subcentimeter cystic foci of the pancreas are too small to completely characterize and could represent sidebranch IPMNs. The largest of these measures 6 mm and is located in the pancreatic tail (series 1501 image 28). No significant interval change.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Stable T2 hypointense mesenteric lesion measuring 6.3 x 4 cm (series 801 image 29) (prior 6.1 x 4 cm). The lack of intravenous contrast limits evaluation of the relationship to the SMA and SMV, which was seen to encase these vessels on the prior study. No bowel obstruction or ascites.BONES, SOFT TISSUES: Broad-based ventral hernias in the central and right abdominal wall containing loops of small bowel. No evidence for acute complication.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Enlarged uterus with a lobulated contour again noted. Multiple nabothian cysts are again seen. Stable mild thickening of the of the endometrial canal. Stable appearance of the T2 hyperintense and restricted diffusion mass (series 504 image 396) of the right aspect of the fundus measuring 5.7 x 3.5 cm (series 201 image 46) (prior 6.9 x 3.6 cm).BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Mild endplate degenerative changes of the lumbosacral junction.OTHER: No significant abnormality noted.
1.Stable appearance of the known small bowel mesenteric mass. The lesion was previously described to encase the SMA and SMV, however this evaluation is limited due to the lack of intravenous contrast.2.Contrast extravasation as described above.