11-year-old female with a history of MEN I presents with hypoechoic lesions found on endoscopic ultrasound. ABDOMEN:LIVER, BILIARY TRACT: No focal lesions. No intra or extrahepatic biliary ductal dilatation. The gallbladder is normal in appearance.SPLEEN: No significant abnormality noted.PANCREAS: High T2 signal focus in the pancreatic head measures 0.8 x 0.7 cm (series 501, image 11) and does not enhance. Additional high T2 signal focus in the pancreatic tail, abutting the spleen, measures 0.6 x 0.8 cm (series 501, image 20), does not enhance, and follows splenic intensity on all sequences. No pancreatic ductal dilatation. No peripancreatic fluid collections.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No discrete lesion or evidence of hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: The bowel is normal in appearance.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
High T2 signal, nonenhancing, foci in the pancreatic head and tail. The focus in the pancreatic tail follows signal intensity of the spleen on all sequences and may reflect an intrapancreatic accessory spleen.