Monday, June 10, 2013

Dreaded I

This CT scan is taken from a 50 year old African American man with diabetes, smoking, obesity and a history of partial gastrectomy. He initially presented with asthenia, weight loss, anorexia, insidious gnawing epigastric pain, jaundice, and dark urine.

Challenge: What's the diagnosis?

Image is in the public domain.

6 comments:

sibogox said...

the pancreatic head mass looks ugly and malignant. it is likely a pancreatic adenocarcinoma pressing on the bile duct cause you could also see the distended gallbladder.

also the cyst on the left kidney might be coincidental finding unrelated to the pancreatic mass i guess..

tree said...

My specialty! AdenoCA of the head of the pancreas

city said...

pancreatic ca

city said...

pancreatic islet cell cancer?

Alex said...

pancreatic pseudocyst, with CBD obstruction

Craig Chen said...

lots of responses - yes it's pancreatic adenocarcinoma. good job guys!
-
Dreaded I

This is a pancreatic adenocarcinoma; the CT shows a mass of the pancreatic head.

Sources: UpToDate; Wikipedia.