Patient Data
Low-attenuation pancreas head/neck mass with resultant upstream pancreas ductal dilation abruptly cutting off the level of the mass, and upstream pancreas parenchymal atrophy. Just under 180 degrees contact/abutment of the superior mesenteric vein with indentation and also the portal splenic confluence. No other vascular involvement is identified. There is a replaced hepatic artery arising from the SMA. Gastroduodenal artery encasement. Enlarged portacaval and peripancreatic lymph nodes. Stented common bile duct with dilated gallbladder. Few faint/subcentimeter low-attenuation liver lesions.. No peritoneal disease. Omentum containing umbilical hernia. Trace ascites.
Case Discussion
Staging teaching case for pancreas adenocarcinoma, with some venous abutment as described and enlarged regional lymph nodes.
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