Ok I have my results, but can't really figure out what it actually means.
FINDINGS:
There is a discrepancy with the prior study. A 5 mm abnormality is described in the tail of the pancreas while the images reveal a 6.5 cm collection of soft tissue echoes in the region in question. I believe there is a typographical error in the prior summary.
Today's images reveal the spleen with a prominent renal lobe which extends medially and anteriorly adjacent to the upper pole of the left kidney. This abuts the tail of the pancreas with some displacement. No focal pancreatic lesions are identified with certainty. No focal hepatic abnormalities are observed. The patiet is status-post cholecystectomy. The right hepatic lobe is elongated. The adrenal glands appear normal.
No calcified renal calculi are apparent. The kidneys both excrete contrast without hydronephrosis or perinephric fluid accumulations. Delayed images reveal no filling defects within the pelvocaliceal system of other kidney. The partially visualized portions of the proximal ureters appear grossly normal in course and diameter without obstructive uropathy.
No free air or fluid is seen within the abdomen. I find no masses, lymphadenopathy or inflammatory densities. The soft tissue and skeletal structures of the abdominal walls appear normal for age. The incidentally imaged lunch bases are clear. The heart size is normal.
SUMMARY:
Abdominal CT imaging with attention to the pancreas reveals no focal hight or low density pancreatic lesions. The pancreatic tail does appear prominent and abuts the prominent renal lobe of the spleen which is directed anteriorly and medially adjacent to the superior pole of the left kidney. The splenic lobule does somewhat displace and efface the pancreatic tail and is thought to account for the appearance on this CT examination. I find no mass, lymphadenopathy, inflammatory density or fluid collection.
Can anyone help me with this? Thanks