A 2.5 x 1.9 cm ovoid hypodensity at the uncinate process of the pancreas is associated with mild common bile duct dilatation, measuring up to 12 mm. Mild intrahepatic ductal dilatation. Mild pancreatic duct prominence. No porta lymphadenopathy, or lymphadenopathy elsewhere. However, there is a large heterogeneous, right adrenal mass is without definite calcification, measuring up to 5.3 cm. The left adrenal gland is also moderately bulky. Incidental splenunculus. No free fluid. Past cholecystectomy. No suspicious focal bony lesion. Lung bases unremarkable.
Conclusion:
2.5cm pancreatic head lesion with mild biliary tree dilatation is suspicious for pancreatic tumour such as carcinoma. The large right adrenal mass is likely malignant, more likely a metastasis in this context although a second pathology is not excluded. Clinical/biochemical correlation would be helpful in the first instance.