Pancreatic carcinoma with portal vein invasion
{"favouriteUrl":"/cases/pancreatic-carcinoma-with-portal-vein-invasion/add_favourite?lang=us","favouriteId":10483,"favouriteKind":"case","loginUrl":"/sessions/new?lang=us\u0026return_to=%2Fcases%2Fpancreatic-carcinoma-with-portal-vein-invasion%3Flang%3Dus","unfavouriteUrl":"/cases/pancreatic-carcinoma-with-portal-vein-invasion/remove_favourite?lang=us"}
{"favouriteUrl":"/cases/pancreatic-carcinoma-with-portal-vein-invasion/add_favourite?lang=us","favouriteId":10483,"favouriteKind":"case","loginUrl":"/sessions/new?lang=us\u0026return_to=%2Fcases%2Fpancreatic-carcinoma-with-portal-vein-invasion%3Flang%3Dus","unfavouriteUrl":"/cases/pancreatic-carcinoma-with-portal-vein-invasion/remove_favourite?lang=us"}
Diagnosis almost certain
Presentation
Weight loss.
Patient Data
Age: 60 years
Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.
From the case:
Pancreatic carcinoma with portal vein invasion
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/10958/annotated_viewer_json?c=1697629219\u0026lang=us"}



There is a subtle low attenuating mass within the body and neck of the pancreas with non-opacification of the adjacent portal confluence. On the coronal images part of the mass can be clearly seen within the portal vein. The pancreatic duct within the tail of the pancreas is mildly distended.
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/10959/annotated_viewer_json?c=1697629219\u0026lang=us"}



PET avid lesion in the pancreas.
Case Discussion
Features are those of pancreatic ductal adenocarcinoma with portal vein invasion.