RADIOLOGY: PANCREAS: Case# 33961: ADENOCARCINOMA. 55 year old female with suspected pancreatic neoplasm. The patient is currently admitted with severe abdominal pain and fever. The patient is status post biliary stent placement approximately one week ago. Pancreatic mass located in the head unsunate process of the pancreas with some strandy change in the surrounding fat which abuts the inferior vena cava. The superior mesenteric artery and vein do not appear to be involved by this mass. There is no definite interval change from the prior study. Some of the decreased attenuation could be from an element of inflammation, which appears improved from the prior study. There is pancreatic ductal dilatation which was not mentioned above. There is pneumobilia in the non-dependent portion of the liver.