Presentation
Work up for abdominal pain. Elevated CA19-9.
Patient Data
Age: 55 years
Gender: Male
From the case:
Pancreatic ductal adenocarcinoma
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A 60×42 mm low enhancing mass is noted at the pancreatic tail encases splenic vessels.
A few small lymphadenopathy with SAD less than 8 mm are seen in the vicinity of the mass.
A 20×14 mm ill defined hypovascular lesion is noted at the 6th hepatic segment that becomes isodense with surrounding parenchyma on delayed images (ultrasound confirmed haemangioma).
A small amount of fluid is present at perihepatic and perisplenic spaces.
A few stones are apparent in the right kidney.
Case Discussion
Pancreatic mass; pathology proved ductal adenocarcinoma with vascular encasement and small regional lymphadenopathy.
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