Large well-circumscribed cystic lesion centred on the pancreatic body with well-defined enhanced wall and fluid content of low signal on T1 high signal on T2 and T2 fat sat with dependent debris of low signal well-demonstrated on T2 and FIESTA sequences.
Small gallstones are noted. Normal appearance of the intra-and extrabiliary ducts.
The splenic vein is compressed with splenomegaly (16.5 cm), gastric varices, and small splenorenal collaterals, indicating probably sinistral portal hypertension.