Grossly distended stomach with no CT evidence of perforation. The proximal part of the duodenum is narrowed in between the CBD stent and gall bladder.
There is diffused ill-defined circumferential soft tissue prominence surrounding the CBD stent. This is compatible with the known cholangiocarcinoma.
The pancreatic head hypodense mass causes obstruction of the main pancreatic duct. The distal pancreatic duct is dilated. The remaining pancreatic body is atrophic.
Mildly dilated intrahepatic duct with pneumobilia.
Cavernous transformation of the portal vein.