Fig. 18

Pancreatic atrophy in a 50-year-old man with metastatic clear cell renal cell carcinoma. Baseline axial CT scan show mild fatty infiltration of the pancreatic parenchyma (a). Axial CT scan performed after 2 years of sunitinib treatment (b) shows advanced pancreatic atrophy with the decrease in size of the pancreatic body/tail, fatty-fibrous replacement, increased lobular appearance of the gland and decreased attenuation