History of pancreatic adenocarcinoma. Staging MRI. ABDOMEN:LIVER, BILIARY TRACT: No focal suspicious liver lesion. Probable cyst in the left hepatic lobe. Moderate intra and extrahepatic biliary ductal dilatation to the level of the pancreatic head.SPLEEN: No significant abnormality noted.PANCREAS: 2.7 x 2.4 cm pancreatic head hypoenhancing mass (series 1 302/36) with associated pancreatic ductal dilatation and parenchymal atrophy. The lesion abuts and mildly deforms the adjacent superior mesenteric vein involving less than 180 degrees of the vessel. There may be focal non-occlusive marginal thrombus in the SMV. There is loss of fat plane with the adjacent superior mesenteric artery with less than 180 degrees of involvement.1.4 x 1.1 cm periportal heterogeneously enhancing lymph node (series 1 302/49).ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral small renal cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
2.7 x 2.4 cm pancreatic head hypoenhancing mass with associated pancreatic and biliary ductal dilatation is compatible with FNA proven adenocarcinoma. Periportal adenopathy. The mass abuts less than 180 degrees of the superior mesenteric vein and artery as described above.