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Pancreatic Cystosis in Children and Young Adults with Cystic Fibrosis: Sonographic, CT, and MRI Findings

Teresa Berrocal, Manuel Parrón Pajares and Amelia Fernández Zubillaga

Department of Pediatric Radiology, University Hospital La Paz, Paseo de la Castellana, 261, Madrid 28046, Spain.



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  		Fig. 1. —15-year-old asymptomatic boy with cystic fibrosis. Transverse sonogram obtained through pancreatic head and body shows numerous sonolucent uniloculated lesions corresponding to cysts distributed throughout gland. Largest cyst, located in pancreatic head, measures approximately 33 x 42 mm. Small amount of echogenic pancreatic tissue is observed between cysts.

 


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  		Fig. 2A. —17-year-old asymptomatic girl with cystic fibrosis. Transverse sonogram obtained through pancreatic body and tail shows enlarged pancreas presenting numerous differently sized cystic lesions with echogenic pancreatic tissue between cysts.

 


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  		Fig. 2B. —17-year-old asymptomatic girl with cystic fibrosis. Axial T2-weighted turbo spin-echo MR image shows entire pancreas has been replaced by cystic lesions of different sizes. Lesions exhibit markedly increased signal and have thin smooth walls and no solid portions.

 


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  		Fig. 3A. —14-year-old asymptomatic girl with cystic fibrosis. Contrast-enhanced CT scan obtained at level of pancreas shows large multiloculated cystic lesion in head of pancreas. Rest of pancreatic tissue appears normal. Note punctate densities corresponding to blood vessels in cyst wall.

 


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  		Fig. 3B. —14-year-old asymptomatic girl with cystic fibrosis. Axial T2-weighted turbo spin-echo MR image obtained at same level shows high-signal-intensity lesion corresponding to multiloculated cyst. Cyst walls are smooth and contents are homogeneous. Double arrow = artifact.

 

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