Adenocarcinoma of pancreas with hepatic metastasis

Discussion:

Pancreatic malignancies tend to invade the liver via the spleno-portal route and adenocarcinoma of pancreas is known for vascular in-grow, which confers non-resectability of the tumor. In cases where the splenic vein is not well visualized, an indirect sign of splenic vein obstruction is hypodense areas in the splenic parenchyma. 

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