Q: What is the main differential of the pancreatic lesion? show answer
Pancreatic metastasis from renal cell carcinoma
Post-nephrectomy status for renal cell carcinoma
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Avidly enhancing well defined lesion in the head and ancinate process of the pancreas, causing distal pancreatic atrophy of the body and tail with main pancreatic duct dilatation. No dilated CBD or intrahepatic biliary tree is seen.
Surgical clips at the site of previous left nephrectomy. No abnormal soft tissue in the surgical bed.
Several prominent retroperitoneal lymph nodes.