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RADIOLOGY: PANCREAS: Case# 33884: CHRONIC PANCREATITIS; CIRRHOSIS. The patient is an 81-year-old white male with stricture causing dilatation of the pancreatic duct and common bile duct seen on a recent ERCP. 1. Changes in the pancreas are consistent with chronic pancreatitis. However, a 2.7cm focally hypodense area present at the junction of the pancreatic head and neck is present. This area is at the location of pancreatic duct obstruction and presumably the location of common bile duct stenosis. This area is suspicious for pancreatic carcinoma. In addition, strandy changes are present in the fat between the pancreas and SMA as well as the pancreas and gastric antrum. These strandy changes may be related to inflammation, however, neoplastic spread cannot be entirely excluded. 2. The liver configuration is suggestive of cirrhosis. 3. Mild intrahepatic biliary dilatation status post common bile duct stenting. 4. Indeterminate 5mm nodule in the right middle lobe of the lung. 5. Prostatic enlargement.

Peter Anderson
pancreas, radiology