The Challenging Diagnosis of Pancreatic Masses: Not All Tumors Are Cancers

Figure 2

NMR evaluation of pancreatic lesion. (a) Diffusion weighted imaging (DWI) axial sequence shows a hyperintense pancreatic body mass with restricted apparent diffusion coefficient (ADC) value, confirmed in ADC map; (b) single shot axial T2-weighted fat sat image shows pancreatic body mass isointense to liver parenchyma; (c) single shot coronal T2-weighted image shows dilated extrahepatic biliary duct; (d) as shown in (b), with the indication of diameter of the lesion (4 centimeters); (e) 3D maximum intensity projection (MIP) coronal image showing dilated intra- and extrahepatic biliary ducts without evidences of middle segment of Wirsung duct; (f) T2-weighted radial big slab image of the same condition presented in (e).

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