Diagnostic Accuracy of 256-Detector Row Computed Tomography in Detection and Characterization of Incidental Pancreatic Cystic Lesions

Figure 2

Axial MDCT images performed in a 72-year-old woman presenting with hematuria. At baseline MDCT arterious phase scan (a) demonstrates the presence of a primary neoplastic lesion of the right kidney (arrowheads) and a multiloculated hypodense lesion in pancreatic tail (white arrow), suspicious either for cistoadenoma or metastasis. At subsequent MDCT study performed after right nephrectomy and chemotherapy (b), the pancreatic lesion (white arrow) shows partial shrinkage, confirming the diagnosis of metastasis from renal neoplasia.

(a)

(b)