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Fig. 7A. —Malignant nonfunctioning islet cell tumors in 39-year-old woman with history of von Hippel-Lindau syndrome. Patient underwent pancreaticoduodenectomy. Axial CT image of pancreas obtained in arterial phase of enhancement shows 3.5-cm hypervascular mass (arrow) with hypoattenuating center and ring enhancement in uncinate process of pancreas. Note small left renal cyst (arrowhead).