Female 14 years old Reason: eval pancreatic mass History: abdominal pain, emesis, mass on CT ABDOMEN:LIVER, BILIARY TRACT: No intrahepatic or extrahepatic biliary ductal dilatation. No focal mass lesion is evident within the hepatic parenchyma.SPLEEN: No significant abnormality noted.PANCREAS: 3.9 x 3.9 cm heterogeneous T1 hypointense, slightly T2 hyperintense mass is present within the tail of the pancreas, with progressive continuous circumferential enhancement of its rim. An approximately 2 cm wide defect is noted along the anterior aspect of this mixed solid/cystic mass, with the contents spilling into the peritoneal cavity.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No hydronephrosis or hydroureter.RETROPERITONEUM, LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Small volume ascites.
Ruptured mixed solid/cystic neoplasm in the tail of the pancreas, most likely a solid pseudopapillary tumor.