Figure 4: Abdominal ultrasonography and tomography: abdominal ultrasonography showed a hypoechoic, ill-defined, pancreatic mass measuring 49 × 36 mm (a). Although the mass affected the pancreatic head, the patient manifested no jaundice. This is justified by the absence of bile duct compression (b). Coronal abdominal CT imaging revealed a solid ill-defined mass in the pancreatic head (single arrow) (c) and another similar lesion in the subcutaneous tissue of the left lateral abdominal wall (double arrows) (c).