39 year-old female with painless jaundice. Rule out pancreatic mass. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis without cholecystitis. Several small gallstones are present in the neck of the gallbladder. Infiltrative changes in the periportal fat and lymphadenopathy in the hepatic hilum. There is extensive periportal edema. These infiltrative findings surround the superior mesenteric artery and vein, confluence and main portal vein, possibly representing infiltrative neoplasm. The hepatic vasculature is patent. No biliary duct dilatation.SPLEEN: No significant abnormality notedPANCREAS: There is an area of ill-defined hypoenhancement in the pancreatic head seen on axial image 40/161 of series 4, which could represent a primary pancreatic neoplasm. For further evaluation with contrast-enhanced MRI and M.R.C.P. may be helpful, if indicated.ADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Large right upper pole simple benign cyst. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS: UTERUS, ADNEXA: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
Ill-defined hypodensity in pancreatic head with associated fat infiltration and lymphadenopathy in the hepatic hilum. Periportal edema. Findings may be due to pancreatic neoplasm. Cholelithiasis without cholecystitis.