Follow-up CT, 3.5 months later:
The pancreatic mass has grown to ~8 x 8 x 8 cm, not including the tumor thrombus, which has extended into both portal vein branches.
Virtually all the pancreatic cysts have grown in size.
New findings:
- internal biliary stent inserted due to common bile duct (CBD) being compressed by the mass; distended gallbladder
- innumerable hypodense hepatic metastases
- retroperitoneal para-aortic metastases
- ascites, large amount