Fig. 29

A 62-year-old male with no prior significant medical history presented with gradually increasing epigastric pain and weight loss. a Axial plane postcontrast late arterial phase CT image demonstrates diffusely thickened and heterogeneously enhancing pancreas (arrows) with ductal dilatation. b There was abrupt cessation of the pancreatic ductal dilatation (arrows) at the location of the pancreatic head mass. Image-guided percutaneous biopsy of the head lesion demonstrated TBC bacillus. The patient was then placed on multidrug antituberculosis treatment. Head, neck, and chest CT scans did not reveal any evidence of disease elsewhere. c Axial plane fat-suppressed T2W image 28 months after the initial scan showed significant regression of the pancreatic findings. At the time of this MRI scan, the patient was asymptomatic