Presentation
Pancreatic tumor incidentally detected on workup for renal transplant.
Patient Data
Enhancing pancreatic tail neoplasm is demonstrated. No calcification is identified. The lesion appears macrocystic with poorly defined septations. There is no communication with the pancreatic duct, and the pancreatic duct is not dilated. No other pancreatic lesion identified. No hepatic metastases. No enlarged upper abdominal lymph nodes. The remainder the study is normal.
In the tail of pancreas, 5 cm lobulated microcystic lesion demonstrates central septations/scar. Multiple small elongated cystic lesions in the body of pancreas. No solid pancreatic lesions. The pancreatic duct is not dilated (3 mm). No enlarged upper abdominal lymph nodes.
Small simple renal cysts and gallstones, with the remainder of the upper abdomen unremarkable.
Conclusion:
Pancreatic tail lesion is compatible with a serous cystadenoma. Other pancreatic body lesions are most likely side-branch type IPMN. No concerning features.
Case Discussion
This is a nice case of serous cystadenoma.
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