Diagnostic Ultrasound - Abdomen and Pelvis

Solid Pseudopapillary Neoplasm
Diagnoses: Pancreas
(Left) Axial T2 MR shows a
small, well-defined T2-bright
lesion in the pancreatic body
. Notice that the signal is
less intense than that of fluid
st in the gallbladder and
spinal canal . (Right)
Corresponding axial T1 C+ FS
MR shows a small
hypoenhancing mass in the
body of the pancreas
mimicking, pancreatic
adenocarcinoma except for
the notable lack of pancreatic
ductal dilation or surrounding
infiltration .
(Left) Axial CECT shows a
heterogeneous mass with
solid ſt and cystic st
components in the pancreatic
body in a 19-year-old woman.
(Right) Corresponding coronal
CECT shows the large,
predominantly cystic mass
with an enhancing rim and
peripheral soft tissue ſt.
(Left) Corresponding
endoscopic US in the same
patient shows a
heterogeneous appearance
with solid ſt and small
anechoic cystic areas and a
larger complex cystic
component . (Right)
Endoscopic ultrasound-guided
biopsy shows the needle st
within a peripheral soft tissue
nodular component ſt of the
large solid and cystic
pancreatic mass , which
was a proven SPN.
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