Fig. 30
From: Non-neoplastic hepatopancreatobiliary lesions simulating malignancy: can we differentiate?
A 65-year-old male with newly diagnosed aggressive lymphoma, undergoing intense chemotherapy in intensive care unit, recently started to complain of fever and epigastric pain. Blood tests were positive for leukocytosis and mildly elevated amylase. a Axial plane postcontrast abdominal CT image demonstrates several ill-defined, hypodense lesions within the pancreatic parenchyma (arrows). There was no pancreatic duct dilation or any peripancreatic inflammation/collection. Chest CT study showed innumerable foci of septic emboli within the lung parenchyma. Pancreatic septic emboli or lymphomatous involvement of the pancreas were considered in differential diagnosis. b Follow-up abdominal CT 7 days after IV antibiotic treatment, surprisingly demonstrated almost complete disappearance of the focal pancreatic lesions