Atrophic tail of pancreas. Poorly enhancing large mass lesion is seen epicentered in body of pancreas associated with subcentimetric non enhancing areas within. It is causing splenic vein thrombosis, posteriorly extending beyond the margin of the gland, encasing 360 degrees the celiac axis and the origin of all its branches. Proximal SMA is also encased 270 degrees. There is direct infiltration of left adrenal gland and duodenojejunal flexure. Perilesional retroperitoneal subcentimetric lymph nodes seen.
No other solid visceral spread, no bony lesions or ascites.