An approximately 3.5 x 3 cm duodenal diverticulum arising from the medial wall of D3 segment of duodenum, near the periampullary region containing air fluid level with  mild focal wall thickening – suggestive of duodenal diverticulum with ? secondary neoplastic changes causing focal duodenal  stricture

 Upstream dilatation of proximal duodenum and stomach suggestive of duodenal, gastric outlet obstruction

 No significant lymphadenopathy.

 Fatty liver with small benign cyst in left lobe.