Female 87 years old with a 22mm x 14mm mass in pancreatic head biopsy with EUS 5/25/16. Needle aspiration indicated high-grade neuroendocrine tumor. Evaluate for pancreatic mass. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in size and morphology. There is no suspicious, enhancing hepatic lesion. The hepatic vasculature is patent. Please note that the right hepatic artery arises from the SMA.The gallbladder is collapsed. There is no intra or extrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: The tail of the pancreas is atrophic. There is a 20 x 19 mm round, T2 hyperintense, avidly arterially enhancing lesion at the junction of the pancreatic head and uncinate process (series 12, image 134). The pancreatic duct is not dilated. The pancreatic duct crosses the common bile duct suggesting pancreas divisum.ADRENAL GLANDS: Mild nodular thickening of the left adrenal gland is nonspecific.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: There is a prominent right retrocrural lymph node within normal appearing fatty hilum. No retroperitoneal lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.29 x 19 mm enhancing lesion in the uncinate process of the pancreas is consistent with history of a pancreatic neuroendocrine tumor. 2.No evidence of metastatic disease.