Pancreatic cancer

A 22×16 mm ill defined low enhancing mass is noted at the pancreatic neck, which causes distal parenchymal atrophic changes and duct dilation. There are no signs of local invasion to adjacent structures and no vascular encasement. At least three small dominant lymph nodes are seen in the vicinity of the mass with SAD less than 6 mm.

The hepatic attenuation value is less than the spleen, suggesting fatty liver disease. 

Infrarenal aneurysmal aortic dilatation up to 42 mm is present; it contains mural thrombosis with a maximum thickness of 19 mm.

Relatively height loss is present at L2 and L4 vertebral bodies.