Figure 2.CT scan image of the abdomen at the L1 vertebral level showing the pancreatic mass (PM), invading the stomach wall (ST) and spleen (SP) as indicated by the black arrows. Splenic ischemic change (black arrow head) is secondary to the invasion of the splenic vessels by the mass (double white arrows). Left adrenal (AD) metastasis is noted (white arrow). Liver (LI) metastasis are not visualized in this section.