Additionally, a 10.5 x 6.0 cm homogeneous pancreatic tail mass is identified. Since the previous exam, a new 16.2 x 12.4 cm heterogeneous low attenuation mass with swirled areas of higher attenuation was identified in relation to the inferolateral edge of the pancreatic mass, within the retroperitoneum. Similar abnormal attenuation is identified in the right subhepatic space. The appearance is consistent with new hemorrhage. There is moderate biliary dilatation of the extrahepatic and left intrahepatic biliary tree.
Caval thrombosis is identified just below the renal veins and extends into the right ovarian vein.
There is suggestion of caval thrombosis extension to both iliac veins as well. There is a large amount of ascites which has increased in the interim. The uterus has typical post-partum appearance.