looks almost like a question i had in UW 😉
The picture obviously as you can see isn't the clearest thing in the world. What makes it harder to read the CT images on question banks is that you often don't know the level of the cut which often helps when doing a proper radiology read. Anyhows, the liver looks normal along with what appears to be the gallbladder. The kidneys also didn't seem to show anything out of the ordinary and the big black thing was probably just the stomach. The way I arrived at a pancreatic pathology was seeing that it was larger than what I'm used to seeing along with the white/gray level seen within the pancreas. Never having had radiology, that would have been my guess. Of course, the question stem helps a lot because then you would tend to ignore the small vessels which aren't so readily seen in that size image. What I wrote would obviously be ripped apart by a radiologist but since I'm not going into radiology, I think its okay