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CT Pancreas

Comparison: None available.

Technique: Axial images of the pancreas were obtained prior to the administration of intravenous contrast, and repeated during arterial/venous phases.

Findings: There is a 4.1 x 3.7 cm peripherally enhancing mass within the head of the pancreas with dilatation of the common bile duct, measuring up to 1 cm in diameter. The mass is intimately associated with the wall of the duodenum, but there is no evidence of vascular involvement or invasion of adjacent structures. There is a 5 mm cystic lesion within the tail of the pancreas. Additionally, there are scattered foci of calcifications predominantly within the pancreatic tail. There are no enlarged lymph nodes or fluid collections within the abdomen or pelvis.

A 5 mm cystic lesion in the right lobe of the liver is seen, however is too small to accurately characterize. There are several exophytic, nonenhancing lesions within the renal cortices, bilaterally measuring up to 3.0 cm.

The spleen and adrenals are otherwise unremarkable. There are calcified plaques within the aorta and its branches. Multiple diverticula are noted within the colon without evidence of fat stranding to suggest inflammation. Degenerative changes of spine are noted. Cardiac pacer leads are seen within the heart. Sternotomy wires are noted.

1. Pancreatic head mass with common bile duct dilation as described.
2. 5 mm cystic lesion in right lobe of liver, too small to characterize. Consider followup imaging to evaluate for interval change in size.