Presentation
Abdominal pain and jaundice.
Patient Data
A 33×30 mm low enhancing mass is noted at pancreatic head accompanied by distal pancreatic parenchymal atrophic changes and duct dilatation. Portal confluence and hepatic artery are partially encased by the mass.
A few small lymphadenopathies are seen in the vicinity of mass with maximum SAD of 8 mm.
Intra & extrahepatic bile ducts are dilated and CBD measured 17 mm in caliber. Additionally, the gallbladder is distended.
A few sub centimeter simple cortical cysts are seen at kidneys.
The prostate gland is enlarged.
Degenerative changes as osteophytosis are seen at the lumbar spine.
Case Discussion
Pancreatic mass; pathology proven adenocarcinoma; with vascular encasement and regional lymphadenopathies.
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