Female 58 years old Reason: Pancreatic Cancer? or other cause of ductal dilatation History: abdominal pain ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: There is a 1.6 x 2.3 cm hypo enhancing mass within the pancreatic neck/proximal body (series 1602, image 44). There is is marked pancreatic duct dilatation and atrophy of the distal pancreatic body and tail with associated loss of normal T1 hyperintense signal distal to the mass. At its superior aspect the mass narrows the portal vein at the confluence. There is infiltration of the fat surrounding the mass and extending superiorly towards the region of the hepatic artery and hepatic artery involvement is not excluded. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Subcentimeter T2 hyperintensities in the kidneys are likely cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.
2.3-cm hypoenhancing mass within the pancreatic neck/proximal body. This is suspicious for malignancy, favor adenocarcinoma.