Axial arterial, coronal and sagittal portal venous CT pancreas reveal focal enlargement of the head of pancreas with loss of the normal peripheral lobulation. No significant differential enhancement compared with the rest of the pancreatic parenchyma. The uncinate process is rounded. Body and tail of the pancreas are of normal appearance.
Borderline dilatation of the main pancreatic duct in the body and tail. Dilated CBD with mildly enhancing wall, with abrupt cut-off at the superior margin of the head of pancreas; mild intrahepatic duct dilatation also present. Peripancreatic fat plane is preserved. Borderline-enlarged/prominent peripancreatic and mesenteric lymph nodes. Mild oedema of the mesenteric fat.