Extensive pancreatic calcification. The pancreas is very atrophic with marked dilatation of the pancreatic duct and marked side branch dilatation.
Large cystic structure in the head of pancreas which is of central low density attenuation with some circumferential high attenuation on the pre-contrast scan, with layering post contrast. This arises from the superior gastroduodenal artery.
No active bleeding.
Moderate intra and extrahepatic duct dilatation with the CBD measuring up to 9 mm. The CBD is compressed by this pseudoaneurysm. Deviation of the duodenum/pylorus and there is some inflammatory stranding.
No focal liver lesions. The spleen, kidneys and adrenal glands are unremarkable.
No free fluid in the abdomen or pelvis.