PMC10291048_01
CT abdomen and pelvis at time of diagnosis. CT abdomen and pelvis with IV contrast at time of diagnosis was positive for pancreatic head neoplasm measured at 5 x 3.8 cm.
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A computed tomography (CT) of his abdomen and pelvis was performed which showed a pancreatic head mass with no associated liver lesions or enlarged lymph nodes ( Figure 1 ).
MRI abdomen at time of progression. MRI abdomen with/without contrast at time of progression showed metastatic hypervascular hepatic masses.
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The patient subsequently did well for approximately two years until a surveillance CT abdomen and pelvis revealed multiple new liver lesions which have been confirmed with MRI of the abdomen consistent with new metastatic disease ( Figure 2 ).