The pancreas appears bulky and shows an ill-defined isodense hypoenhancing mass measuring approximately 4.3 x 2.0 cm. There is extensive polypoidal thickening of upper gastrointestinal tract wall, involving the pylorus of stomach, duodenum, jejunum and proximal ileum. The polyps measure 5 to 30 mm and causing luminal compromise. The proximal small bowel appears distended till distal ileum and there is an ileo-ileal intussusception noted in the distal ileum. The terminal ileum and large bowel appear collapsed.
There are few enlarged non-necrotic lymph nodes noted in the mesentery, the largest lymph node measures 1.3 x 0.8 cm in size. There is a well defined oval mass measuring approximately 6.0 x 4.5 cm noted in the right adnexa. The right ovary could not be separately visualized from the mass. The mass shows post contrast enhancement and central non-enhancing necrotic region within.
Extensive polypoidal mucosal thickening predominantly affecting the upper gastrointestinal tract with pancreatic and ovarian neoplasms are likely to represent gastrointestinal polyposis syndrome most likely Peutz Jeghers Syndrome.