Pancreatic head mass with small cystic foci and generally slight hypoenhancement compared to the remainder of the pancreas. Main pancreatic duct is dilated with pancreatic parenchymal atrophy.
Common bile duct is dilated and is narrowed as it passes and is contacted by the mass although is not completely obstructed. Gallbladder and intrahepatic ducts are also dilated. No enlarged upper abdominal lymph nodes.
More than a dozen hepatic masses of mixed T2 high signal with fluid-fluid levels. These are all hypoenhancing compared to the liver with peripheral enhancement due to the pseudocapsule phenomenon.