Presentation
Work up for abdominal pain. Elevated CA19-9 on lab data.
Patient Data
Age: 80 years
Gender: Male
From the case:
Pancreatic ductal adenocarcinoma
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A 31 x 38 mm low-enhancing mass is noted in the anatomical location of the pancreatic neck that partially encases the proximal part of the hepatic and splenic arteries. The distal portion of the pancreas is entirely atrophic.
Several enlarged lymph nodes with SAD less than 20mm are seen in the peri-pancreatic regions.
Several non-enhanced simple cortical cysts are seen in both kidneys.
The prostate gland is enlarged.
Degenerative changes such as osteophytosis are seen in the lumbar spine.
Grade I spondylolisthesis of L5 on S1 is present.
Case Discussion
Pathology proved pancreatic ductal adenocarcinoma with regional lymphadenopathy.
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