Metastatic pancreatic ductal adenocarcinoma
Updates to Study Attributes
A 90×63×87 mm well defined low enhancing mass is noted at the pancreatic tail. The mass encases splenic vessels, and fat planes between the mass and adjacent stomach and left kidney seem obliterated.
Several peripancreatic and para aortocaval enlarged lymph nodes are present with SAD less thanshort axis diameter up to 18 mm.
There are multiple low enhancing masses in the liver less thanup to 20 mm, inferring metastases.
Several non-enhanced-enhancing simple cortical cysts and some parapelvic cysts are seen in both kidneys, with maximum diameters of 65 mm.
The prostate gland is enlarged.
Degenerative changes such as osteophytosis are seen in the lumbar spine.Grade I spondylolisthesis of L4 on L5 is present.
Updates to Case Attributes
Large pancreatic mass; pathology proved adenocarcinoma with a vascular encasement, regional and para-aortic enlarged lymph nodes, and hepatic metastases.
-<p>Large pancreatic mass; pathology proved <a title="Pancreatic cancer" href="/articles/pancreatic-neoplasms">adenocarcinoma</a> with a vascular encasement, regional and para aortic <a title="Enlarged lymph nodes" href="/articles/lymph-node-enlargement">enlarged lymph nodes</a>, and <a title="Hepatic metastases" href="/articles/hepatic-metastases-1">hepatic metastases</a>.</p>- +<p>Large pancreatic mass; pathology proved <a href="/articles/pancreatic-neoplasms">adenocarcinoma</a> with vascular encasement, regional and para-aortic <a href="/articles/lymph-node-enlargement">enlarged lymph nodes</a>, and <a href="/articles/hepatic-metastases-1">hepatic metastases</a>.</p>
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