Case 139:   Metastasis - Pancreatic Cancer

Diagnostic Category:

Clinical Presentation:

54 year old man with pancreatic adenocarcinoma presents for staging.

CT: Hypovascular

Imaging Findings:

Multiphase CT reveals multiple hepatic metastases that are hypodense on all phases. Note central necrosis of even small metastases. Biopsy of one of these liver lesions was revealed poorly differentiated adenocarcinoma, compatible with pancreatic origin. Hypervascularity in the left lobe is due to chronic occlusion of the left portal vein (not shown). Images in this patient after chemotherapy and transarterial chemoembolization (TACE) can be seen here.