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A 60-year-old female patient was referred to our hospital for epigastric abdominal pain. Abdominal sonography revealed an ill defined lesion in the pancreatic head (arrow, figure 1A). The margins of the mass were irregular. The common bile duct and pancreatic duct were not dilated. Plain and contrast enhanced multiphase CT of the abdomen showed a hypodense mass in the pancreatic head (arrow in figure 1B) with some patchy contrast enhancement. An abdominal MRI was subsequently undertaken, which showed that the signal intensity of the mass was similar to the signal intensity of the normal pancreatic parenchyma on in-phase T1 weighted images (arrow in figure 1C). The opposed-phase T1 weighted images showed a significant patchy decrease in the …
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.