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Recent Report Findings:
Head, uncinate process, neck and body of pancreas are bulky with reduced parenchymal enhancement is contrast study. Peripancreatic fat stranding noted suggestive of inflammantory changes. Main pancreatic duct is dilated measuring approx. 9.0mm at neck level. Multiple calculi noted in main pancreatic duct at head region causing obstruction, largest calculi measuring approx, 11.4mm. Multiple calculi are noted in both ventral and dorsal pancreatic ducts at pancreatic head. Few calculi are noted at tail region of pancreatic duct,laggest measuring 8.8mm. Calculi are noted on branch pancreatic duct.
Branch pancreatic duct are also dilated. Calcification are noted in pancreatic parenchyma. Main portal vein, distal CBD and proximal duodenum are brodly abutted and compressed by enlarge head of pancreas. Multiple peripheral wall enhancing cystic lesion noted in head, neck and body of pancreas, largest measuring approx 30mm X 18.7 mm and some of cysts are communicating with main pancreatic duct. Small fluid pocket noted in pancreatico-duodenal groove. Left Gerotas fascia is thickend. Multiple enlarged peripancreatic and few superior mesenteric lymph nodes noted largest measuring approx. 17.5 mm. No evidence of enlarged para-aortic and aorto-caval lymph nodes.
The doctor has suggested for opreations. We are very worried. Please do you have any suggestion...???
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