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Diagnostic Ultrasound - Abdomen and Pelvis

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Solid Pseudopapillary Neoplasm<br />

(Left) Transverse color<br />

Doppler ultrasound<br />

demonstrates a lobulated,<br />

cystic mass with central<br />

hyperechogenicity st. Note<br />

the adjacent, patent splenic<br />

vein . (Courtesy A. Kamaya,<br />

MD.) (Right) Corresponding<br />

axial CECT shows a large,<br />

lobulated hypodense mass <br />

with calcifications within the<br />

central portion of the mass<br />

. (Courtesy A. Kamaya, MD.)<br />

Diagnoses: Pancreas<br />

(Left) Transabdominal<br />

ultrasound demonstrates a<br />

well-defined complex cystic<br />

pancreatic mass in the tail<br />

of the pancreas with layering<br />

internal echogenic material<br />

ſt. (Right) Corresponding<br />

sagittal zoomed-in<br />

transabdominal ultrasound<br />

demonstrates a well-defined<br />

complex cystic pancreatic<br />

mass with central<br />

echogenic material ſt.<br />

(Left) Transverse<br />

transabdominal ultrasound<br />

shows a complex solid <strong>and</strong><br />

cystic mass in the tail of the<br />

pancreas ſt. (Right)<br />

Corresponding axial T2 FS MR<br />

shows a large complex cystic<br />

mass with heterogeneously<br />

hyperintense T2 signal<br />

intensity <strong>and</strong> a T2-dark,<br />

thick, <strong>and</strong> fibrous capsule ſt.<br />

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