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Simple Pancreatic Cysts

CT and Endosonographic Appearances

Diane Bergin1, Lisa M. Ho1, Paul S. Jowell2, Theodore N. Pappas3 and Erik K. Paulson1

1 Department of Radiology, Duke University Medical Center, Box 3808, Durham, NC 27710.
2 Department of Medicine, Duke University Medical Center, Durham, NC 27710.
3 Department of Surgery, Duke University Medical Center, Durham, NC 27710.



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  		Fig. 1. —35-year-old man (patient 1) who had history of renal colic but did not have symptoms related to pancreas. Contrast-enhanced CT scan of pancreas shows 8-mm nonenhancing lesion of low attenuation (arrow) in tail of pancreas.

 


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  		Fig. 2A. —48-year-old woman (patient 2) referred for evaluation of pancreatic lesions. Contrast-enhanced CT scan obtained during arterial phase shows 1.5-cm cystic lesion (arrow) in neck of pancreas. This patient also had serous adenoma in head of pancreas (not shown).

 


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  		Fig. 2B. —48-year-old woman (patient 2) referred for evaluation of pancreatic lesions. Endosonogram shows unilocular cyst (arrows) at neck of pancreas with enhanced through-transmission. Pancreatic duct (PD) is normal in caliber. PB indicates pancreatic body, which has normal endosonographic appearance. Cursors delineate diameter of pancreatic duct.

 


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  		Fig. 3A. —49-year-old man (patient 3) with chronic lower back pain. Enhanced CT scan of pancreas shows 4-cm unilocular cyst (arrow) exophytic from head of pancreas.

 


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  		Fig. 3B. —49-year-old man (patient 3) with chronic lower back pain. Endosonogram shows 4-cm unilocular cyst arising from head of pancreas with enhanced through-transmission. Normal pancreatic duct (arrow) lies adjacent to cyst. Cursors and dots define diameter of pancreatic cyst.

 

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