Abdominal pain and palpable mass on physical exam.
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60×40 mm mass in the pancreatic body accompanied by distal parenchymal atrophic changes as well as pancreatic duct dilatation. Celiac artery trunk and proximal portions of splenic and hepatic arteries are encased by the mass. In addition, SMV is infiltrated and obstructed by the mass. Several small lymphadenopathies are noted in the vicinity of diseased segment.
Pathology proven pancreatic adenocarcinoma with vascular involvement and regional lymphadenopathy.