Extensive pneumoperitoneum.
Pneumobilia present.
The stomach is distended. Focal defects noted in the wall of the lesser curvature with extension of intra-luminal fluid and air into the lesser omentum/sac.
Fluid noted within the left retroperitoneal space.
Mass in head of pancreas mass causing biliary obstruction and duodenal obstruction.
Suspected involvement of the SMV.
Biliary obstruction present despite biliary stent in situ. The CBD measures 1.4cm . Enhancement of the walls of the bile ducts present.
Small peri pancreatic, para-aortic, coeliac and mesenteric lymph nodes present.
Incidental findings:
Left midpole cortical and sub capsular simple cysts
Mutifiboid urterus.
Bilateral basal dependent atelectasis
Degenerative spondyloarthropathy.