Pathology-proven pancreatic ductal adenocarcinoma with SMA and SMV abutment, small regional lymphadenopathy and diffuse hepatic metastases.

The main criteria for the unresectability of pancreatic ductal adenocarcinoma are the presence of metastasis and/or vascular invasion, particularly encasement of the celiac trunk and superior mesenteric artery. A structured report should include these two critical findings.