Bilobed enhancing focus in the head and uncinate process of the pancreas representing a gastroduodenal artery pseudoaneurysm. Non-enhancing mildly dense rind of tissue surrounding this enhancing lumen indicates thrombus. No peripancreatic collection. Moderate dilatation of the intrahepatic bile ducts and compression of the common bile duct by the pseudoaneurysm. Effacement of the confluence of the superior mesenteric vein and the portal vein.
Dystrophic calcification of the slightly atrophic pancreatic body and tail which is suggestive of chronic pancreatitis. Prominence of the pancreatic duct may be secondary to mass effect. Stranding around the pancreas, particularly at the pancreatic head, likely represents acute pancreatitis. Distended gallbladder. Suboptimal contrast opacification of the left portal vein branches may suggest a non-occlusive thrombus. Prominent upper abdominal lymph nodes.