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Fig. 28 | Insights into Imaging

Fig. 28

From: Non-neoplastic hepatopancreatobiliary lesions simulating malignancy: can we differentiate?

Fig. 28

A 54-year-old female with known alcohol induced chronic pancreatitis and chronic pain now presenting with unusually intense epigastric pain. a T2W MRI demonstrates a hypointense ill-defined 3-cm-diameter solid mass (arrows) in the pancreatic body/tail with downstream ductal dilatation, likely related to patient’s known chronic pancreatitis. b Axial plane postcontrast T1W image demonstrates heterogeneous enhancement of this lesion (arrows). The patient was scheduled for surgical excision. c Two weeks after the initial MRI scan, immediately before the planned surgery, the CT scan showed that the mass had almost completely resolved without any treatment. Based on these findings, the mass was considered to represent a pseudomass due to focal pancreatitis

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