Large pancreatic head mass with heterogeneous T1 and T2 signal, including intrinsic high T1 signal compatible with blood product. There are enhancing internal septations.
Distally the pancreas is atrophied and there is mild pancreatic duct dilatation. Enhancing tissue also extends to the porta hepatis to possibly involve the right hepatic artery without clear involvement of the common or left hepatic arteries. Filling defect within the main portal vein at the porta hepatis with transmural invasion; thrombus extends to the confluence of the left and right portal veins.
The common bile duct is compressed by the mass and there is extrahepatic and intrahepatic duct dilatation with the common hepatic duct measuring 1.3 cm.
No enlarged lymph nodes are identified. No focal liver lesion.