Presentation
Incidentally discovered pancreatic body cystic lesion by ultrasound. CT for further work-up.
Patient Data
There is a lobulated, multi-septated lesion seen in the distal body/tail of pancreas showing mild enhancement with no obvious soft tissue nodule within and fine central scar with tiny central and peripheral dots of calcification with preserved peripancreatic fat planes. No distal pancreatic duct dilatation or surrounding lymphadenopathy. The lesion abuts the splenic vessels posteriorly and the lesser curvature of the stomach with no evidence of vascular or surrounding organ invasion, suggestive of a nonaggressive cystic lesion, such as a serous cystadenoma.
Status post cholecystectomy with an unremarkable operative bed.
The rest of visualized organs are unremarkable.
Case Discussion
This cystic pancreatic lesion was incidentally discovered by abdominal ultrasound examination and CT evaluation with tumor markers work up was requested. The CT revealed the above mentioned of benign looking cystic lesion of typical CT features of serous cystadenoma. Tumor markers were interpreted as "normal".
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