Case 13 : CT + MRI abdomen. 30F

30F comes with vague abdominal pain


A 2 cm Pancreatic multiseptate lesion is noted at the body of pancreas, with subtle peripheral enhancement seen. No solid component.No pancreatic duct dilatation was observed. No adjacent nodes were seen

There was no h/o pancreatitis in this patient, hence a possibility of cystic neoplasm was considered.

Pancreatic cysts are either :

1. Pancreatic Pseudocysts

2. Cystic neoplasms (common) are IPMN (intra ductal papillary mucinous neoplasm) or seous or mucinous cystic neoplasm

3. SPEN (solid pseudopapillary epithelial neoplasm) or Neuroendomcrine/ necrotic adenoa CA (less likely)

Super reading on Radiology Assistant