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Serous cystadenoma - pancreatic tail

Case contributed by Roberto Pais
Diagnosis almost certain

Presentation

Female patient with recurrent abdominal pain.

Patient Data

Age: 70 years
Gender: Female

At the level of the pancreatic tail, a space-occupying formation is identified, measuring approximately 4.7 x 3.9 cm, with a multilobulated and mixed microcystic and macrocystic appearance, hyperintense on T2-weighted and on T2 SPIR. DWI sequence shows no significant restriction.

Case Discussion

Pancreatic serous cystadenomas can have different appearances: microcystic, macrocystic/"oligocystic", mixed microcystic and macrocystic and solid. 

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