CT - CT of pancreas
Axial C+ portal venous phase
Axial late arterial phase
Coronal late arterial phase
What is the most likely diagnosis based on the appearance at CT?
Ductal adenocarcinoma of the pancreas.
There is a 3.1 cm pancreatic head mass with separation of the normal appearing pancreas at the neck from the dilated pancreatic ducts suggesting infiltration of pancreatic neck. The portal vein origin appears narrowed by tumour. The SMA is clear of disease. There is no adenopathy. Apart from intrahepatic duct dilatation, the liver is normal in appearance.
The mass was considered 'borderline resectable'