CT
A 48 mm low-enhancing mass is noted in the pancreatic body, accompanied by distal duct dilatation and parenchymal atrophy. The mass encases the coeliac trunk, proximal of common hepatic artery and splenic artery, and abuts the superior mesenteric artery. Additionally, the portal confluence and splenic vein are encased and narrowed by the mass. The fat planes between the mass and gastric lesser curvature are obliterated.
A few enlarged lymph nodes are seen in the peripancreatic regions.
A small volume of free fluid is present in abdominopelvic spaces.
Several hepatic low-enhancing masses are seen less than 18 mm, inferring metastases.
The gallbladder is not seen at the anatomical location due to prior resection.