RADIOLOGY: PANCREAS: Case# 33951: PANCREATIC CARCINOMA WITH MULTIPLE METASTASES. 75-year-old female with history of lung carcinoma in 1991 has been without symptoms until abdominal pain two weeks ago. 1. Hepatic hypodensity near the falciform is suspicious for malignancy, but an atypical area of focal fat is possible. 2. Pancreatic head mass with ductal dilatation is consistent with malignancy rather than pancreatitis. 3. Left adrenal mass has focal density which is consistent with metastasis.