Patient without pain symptoms, presenting with diarrhea and anemia. The indication for the ultrasound examination was elevated protein levels in the urine and decreased kidney function.
An incidental finding during the renal ultrasound examination revealed a large mass in the region of the pancreatic tail. The mass did not appear to compress the pancreas but seemed to originate from it. Rather than a malignant lesion, it appeared to represent an enlargement of the pancreatic tail.
Ultrasound Findings
A large pancreatic mass measuring approximately 9 × 9 × 14 cm was observed. The lesion was mostly homogeneous, with smooth margins and internal vascular flow. No cystic components were identified. The remainder of the abdominal ultrasound was unremarkable, with no enlarged lymph nodes detected.
After Ultrasound, CT, MRI, PET examinations, differential diagnosis included: lymphoma, solitair fibrous tumor, giant schwannoma, mucinous proces of the pancreas, and low-grade neuro-endocrene tumor.
Histopathological examination with revision concluded a pancreatic hamartoma arising from exocrine pancreatic tissue.
Radiology technologist specialised in ultrasound and MRI. Graduated in 2017 at Fontys Eindhoven. Specialisations aquired for Ultrasound and MRI in 2019 and 2021 respectively. Workplace at Diakonessenhuis Utrecht since 2017, joined FleXray in 2024.
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