There is a large bilobed solid and cystic mass lesion measuring about 16 x 12.5 x 12 cm which appears to be arising from the inferior aspect of the pancreatic head/duodenum. The mass is displacing the 2nd part of duodenum. The mentioned mass enhances peripherally and has enhancing septae. No calcifications seen in the lesion.
No dilatation of the pancreatic duct or CBD. The rest of the pancreas appears normal.
Differential diagnosis include large cystic pancreatic tumor like cystadenoma/cystadenocarcinoma, GIST and lieomyoma/leiomyosarcoma.
Mild ascites with high density is seen mainly in th pelvis.
No enlarged lymph nodes.