Outside hospital MRI presented for second opinion. ABDOMEN:LIVER, BILIARY TRACT: The study is limited due to lack of intravenous contrast.The common bile duct measures up to 7 mm with extrinsic narrowing at the level of the supra pancreatic lymphadenopathy (series 6/14). No significant intrahepatic biliary ductal dilatation.Better appreciated on the subsequent CT is a 3.2 x 2.3 mildly T2-weighted hyperintense lesion in the periphery of segment IVa/b.Periportal lymphadenopathy is also noted, see subsequent CT.SPLEEN: No significant abnormality noted.PANCREAS: Just cranial to the pancreatic head is a 3.3 x 2.3 cm masslesion/lymph node. The main pancreatic duct is normal in caliber. No significant pancreatic parenchymal atrophy.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Additional small subcentimeter upper abdominal and retroperitoneal lymph nodes also seen. Tiny right-sided juxtraphrenic lymph nodes present as well. BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Outside MRI exam read:1.The mass lesion described as a pancreatic head mass is more compatible with peripancreatic lymphadenopathy as better characterized on the subsequent CT. 2.Incompletely characterized peripheral segment 4A/B lesion is better seen on subsequent CT.