Female 56 years old Reason: unresectable pancreatic adenocarcinoma, SBRT evaluation History: unresectable disease ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. There is mild to moderate intrahepatic biliary ductal dilatation. Common bile duct stent is present. Status post cholecystectomy.No suspicious hepatic lesions. Hepatic and portal veins are patent.SPLEEN: No significant abnormality noted.PANCREAS: There is a pancreatic head/body mass that extends to the pancreatic head. The mass is hypoenhancing. It measures 3.2 x 1.8 cm. It occludes the pancreatic duct with resultant pancreatic ductal dilatation in the tail. The mass narrows the portal vein. Posteriorly, the mass extends to the level of the IVC and superiorly extends to the level of the caudate. There is infiltrative soft tissue surrounding the caudate.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Post surgical changes in the anterior abdomen.OTHER: No significant abnormality noted.INDEX LESION MEASUREMENTS (Current exam date/time: 7/26/2016 10:45:00)PANCREATIC MASS: 3.2 x 1.8 cm (Image 229, Series 10); 2.3 x 4.0 cm on prior (12/22/2015) (Image 92, Series 17).
Pancreatic head/body mass with extensive regional extent of disease