A 50×38 mm low-enhancing mass is noted in the pancreatic body that encases the coeliac trunk, proximal of splenic and common hepatic arteries, SMA, SMV and portal confluence. Multiple dilated collateral vessels are seen in the porta hepatis, inferring cavernous transformation of the portal vein. In addition, some collateral vessels are seen in the perigastric regions.
The pancreatic duct distal to the mass is dilated. Peripancreatic fat stranding and a few regional enlarged lymph nodes with SAD less than 12 mm are also seen.
A 10 mm small non-enhanced cyst is noted in the segment IVa of the liver.
The spleen is enlarged, and its cephalocaudal height measured 150 mm.
An 8 mm stone is noted in the urinary bladder.