Incidentally noted large intra-luminal filling defect (saddle thrombus) straddles the pulmonary artery trunk bifurcation extending into the main right and left pulmonary arteries as well as also along the anterior and posterior segmental and subsegmental branches of the upper and lower pulmonary lobar arteries partially occluding their lumens.
Liver shows no significant time interval changes regarding the previously noted Pneumobilia and mild to moderate intra and extrahepatic biliary dilatation and mild progression of CBD dilation and abrupt cut of it distally at the pancreatic head suggestive of underlying pancreatic head isodense lesion.
Pancreas showing mild atrophic changes involving body and tail with a progression of pancreatic ductal dilatation with an abrupt cutoff to it at the pancreatic head.