Hypodense pancreatic head / uncinate process mass. Dilatation of the main pancreatic duct with associated atrophy of the pancreatic neck and proximal body. Dilatation of the intra and extrahepatic ducts with the common bile duct measuring up to 1.2 cm. Gallbladder is markedly distended.
This hypodense mass does not abut the superior mesenteric artery or vein. No enlarged lymph nodes using short axis criteria. No focal liver lesion. Small volume of pelvic free fluid.