EURORAD ESR

Case 12429

Multifocal metastatic pancreatic neuroendocrine tumour

Author(s)
R. Severino1, J. Parikh2

(1) Department of Radiology,
"Federico II" University Hospital, v
ia Pansini, 80131 Napoli, Italy.
Email:severino.ros@gmail.com
(2) Department of Radiology,
Guy's & St Thomas' Hospitals NHS Foundation Trust,
Westminster Bridge Road, L
ondon SE1 7EH, England
 
Patient
male, 63 year(s)
 
 
  • Figure 1
    3D-MIP reconstruction MRCP image

    There are two strictures within the main pancreatic duct, at the neck measuring 13 mm in length and at the level of the pancreatic body measuring 6 mm in diameter, respectively.

     
    Area of Interest: Biliary Tract / Gallbladder; Pancreas; Imaging Technique: Image manipulation / Reconstruction; MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 2
    Axial T2 weighted HASTE MR image of the liver

    Axial T2 weighted MR image shows two large ring-like liver lesions. They are mostly hyperintense but with a central area of higher T2 signal intensity likely due to a cystic/necrotic component.

     
    Area of Interest: Liver; Pancreas; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 3
    Axial ADC map

    ADC map shows at least 4 low signal areas, corresponding to areas of restriction of water diffusion, related to the presence of high cellularity lesions.

     
    Area of Interest: Pancreas; Imaging Technique: MR-Diffusion/Perfusion; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 4
    Post-contrast axial fat-sat T1W MR image, early arterial phase

    Axial arterial phase T1 weighted MR image shows hypoenhancing lesion at the tail of the pancreas.

     
    Area of Interest: Pancreas; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 5
    Post-contrast axial fat sat T1W MR image, portal-venous phase

    Axial portal-venous phase T1 weighted MR image shows hypoenhancing lesion at the tail of the pancreas.

     
    Area of Interest: Pancreas; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
There are two strictures within the main pancreatic duct, at the neck measuring 13 mm in length and at the level of the pancreatic body measuring 6 mm in diameter, respectively.
 
Axial T2 weighted MR image shows two large ring-like liver lesions. They are mostly hyperintense but with a central area of higher T2 signal intensity likely due to a cystic/necrotic component.
 
ADC map shows at least 4 low signal areas, corresponding to areas of restriction of water diffusion, related to the presence of high cellularity lesions.
 
Axial arterial phase T1 weighted MR image shows hypoenhancing lesion at the tail of the pancreas.
 
Axial portal-venous phase T1 weighted MR image shows hypoenhancing lesion at the tail of the pancreas.
 
 
 
Home Search Sections Teaching Cases History FAQ Case Archives Contact Login Disclaimer Imprint Switch to MOBILE version
View desktop version