A large lobulated irregularsoft tissue mass is situated in the right half of the abdomen. It appears toarise from the junction of second and third parts of the duodenum and tocontain a cavity partially filled with contrast material and air. Itmeasures 11.7 x 6.9 x 9 cm which is significantly larger than at the time ofthe previous study where it was reported as measuring 3 x 4 x 4 centimetres.
No focal lesions are seen in the liver, spleen, pancreas or adrenals. A 6cm cyst arises from the mid pole of the right kidney. The kidneys areotherwise normal in appearance. There is no retroperitoneal or pelvic lymphnode enlargement & no free fluid. Incidental findings of a small paraumbilical hernia and a small hiatus hernia are noted. No focal bonylesions.