Findings, case of 74 y/o woman with 3-mo Hx of abdominal pain, dysphagia, and weight loss

Imaging Findings

An upper gastrointestinal (UGI) examination demonstrates shelf-like deformity (arrow) of the medial wall at the junction of the first and second portions of the duodenum. A double contour (arrow) is visible on a spot view of this area. The frontal view of the abdomen demonstrates widening of the duodenal C-sweep and Frostberg's inverted three sign (arrow).

Abdominal computed tomographs (CT) obtained after administration of oral and intravenous contrast media show a 4 cm homogeneously enhancing mass (arrow) in the head of the pancreas. No calcifications are visible within this mass. There is no evidence of pancreatic or biliary ductal dilatation. The duodenal wall is not clearly distinct from the mass. No vascular encasement or invasion, lymphadenopathy, or liver metastasis are apparent.

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