EURORAD ESR

Case 9634

CT and MR Findings of an Giant Pancreatic Cyst on Ectopic Thoracic Pancreas

Author(s)
Jose P. Mora-Encinas, Maria Leo-Barahona, Tamara Zamorano-Pozo, Victoria Gonzalez-Montaño, Damaso Villa-Minguez

Hospital Infanta Cristina,
SES, Radiologia;
Avda. Elvas S/N
06080 Badajoz;
Email:hijodelastormentas@hotmail.com
 
Patient
female, 23 year(s)
 
 
  • Figure 1
    Chest radiograph

    Chest radiograph shows a giant opacity extending to the whole left lung field, with contralateral shift of mediastinal structures and inferior displacement of the gastric bubble.

     
    Area of Interest: Thorax; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Cysts;
     
     
  • Figure 2
    Contrast-enhanced CT of the chest and abdomen
     

    Axial contrast-ehnanced CT reveals a predominantly cystic lesion (C) occupying the whole left hemithorax with significant shifth of the mediastimun to the right. A soft-tissue elongated structure is seen in its...

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Coronal view.

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Coronal view of contrast-enhanced abdominal CT. Note the inferior displacement of gastric bubble (G), pancreas (P), liver (L) and spleen (S). Pancreas is normal.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 3
    MRI of the thorax and abdomen
     

    Axial T1W MRI shows a thoracic cystic lesion with a solid component (arrow).

     
    Area of Interest: Thorax; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Axial T1W MRI of the upper abdomen shows no abnormalities.

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    The axial T2W image at the level of midthorax shows the cystic (C) and solid (arrow) components of the lesion.

     
    Area of Interest: Thorax; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Axial T2W image at the level of upper abdomen and pancreas. No abnormalities are detected.

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Sagital T1W image of the thorax and upper abdomen shows the giant cystic mass in the left hemithorax displacing the diaphragm and subdiaphragmatic organs inferiorly.

     
    Area of Interest: Thorax; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
Chest radiograph shows a giant opacity extending to the whole left lung field, with contralateral shift of mediastinal structures and inferior displacement of the gastric bubble.
 
Axial contrast-ehnanced CT reveals a predominantly cystic lesion (C) occupying the whole left hemithorax with significant shifth of the mediastimun to the right. A soft-tissue elongated structure is seen in its anterolateral wall (arrow).
 
Coronal view.
 
Coronal view of contrast-enhanced abdominal CT. Note the inferior displacement of gastric bubble (G), pancreas (P), liver (L) and spleen (S). Pancreas is normal.
 
Axial T1W MRI shows a thoracic cystic lesion with a solid component (arrow).
 
Axial T1W MRI of the upper abdomen shows no abnormalities.
 
The axial T2W image at the level of midthorax shows the cystic (C) and solid (arrow) components of the lesion.
 
Axial T2W image at the level of upper abdomen and pancreas. No abnormalities are detected.
 
Sagital T1W image of the thorax and upper abdomen shows the giant cystic mass in the left hemithorax displacing the diaphragm and subdiaphragmatic organs inferiorly.
 
 
 
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