46-year-old female with history of pancreatic mass who presents for MRI evaluation. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: There is a T2 hyperintense, diffusion restricting focus in the pancreatic body measuring 4.0 x 2.3 cm (series 3, image 25) with avid enhancement. Adjacent to this dominant lesion, there is additional enhancing soft tissue signal which may be contiguous with this lesion. The pancreatic tail is atrophic. The head and uncinate process are preserved. There is decreased intrinsic T1 hyperintensity in the residual pancreas.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Bilateral breast nodules are noted.
1.Large pancreatic body solid enhancing neoplasm as detailed. Findings are concerning for neuroendocrine tumor given history of MEN1.2.Bilateral breast nodules are present. Correlation with mammography is recommended.