In comparison to previous CT abdomen done almost 2 years previously (see study below):
Small left pleural effusion.
Status post cholecystectomy and hysterectomy.
Large hypodense hypoenhancing splenic mass measuring 9.0 x 7.4 x 7.7 cm - has grown considerably.
Cystic lesion in body of pancreas measuring 11 x 9 mm - not visible on previous study.
Large jackstone calculus in left extrarenal pelvis - unchanged.
Parapelvic cyst in left kidney.
Tiny amount of free intraperitoneal fluid in pelvis.