Presentation
Abdominal pain and recent weight loss.
Patient Data
Age: 70 years
Gender: Female
From the case:
Metastatic pancreatic ductal adenocarcinoma
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Axial With oral contrast
A 34 × 56 mm low enhancing mass is noted in the pancreatic body and tail that encases the splenic artery and extends into the main portal vein and its right and left branches.
A few regional enlarged lymph nodes are also observed.
Multiple low-enhancing masses are seen in the liver less than 20 mm, inferring metastasis.
Small volume of free fluid is present in the pelvis.
Case Discussion
Pancreatic mass, pathology-proven ductal adenocarcinoma with splenic artery encasement, portal vein thrombosis, small regional lymphadenopathy, and hepatic metastases.