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Focal Fatty Replacement of the Pancreas: Usefulness of Chemical Shift MRI

¹ All authors: Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, 388-1, Poongnap-dong, Songpa-gu, Seoul 138-736, South Korea.

View larger version (119K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1A —60-year-old woman with abdominal pain of 2 months' duration and suspected pancreatic mass as found on sonography performed at outside hospital. Axial unenhanced CT scan shows ovoid, low-attenuation lesion with bulging contour (arrows) in anterior aspect of head of pancreas. Attenuation value of lesion is -17 H.

View larger version (127K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1B —60-year-old woman with abdominal pain of 2 months' duration and suspected pancreatic mass as found on sonography performed at outside hospital. Axial contrast-enhanced CT scan corresponding to A shows heterogeneous enhancement of low-attenuation area (arrows) in pancreas. Attenuation value of lesion is 37 H.

View larger version (132K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1C —60-year-old woman with abdominal pain of 2 months' duration and suspected pancreatic mass as found on sonography performed at outside hospital. Transverse in-phase MR image (TR/TE, 152/5.3) shows no abnormality in head of pancreas.

View larger version (142K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1D —60-year-old woman with abdominal pain of 2 months' duration and suspected pancreatic mass as found on sonography performed at outside hospital. Transverse opposed-phase MR image (152/2.7) corresponding to C shows hypointense mass (arrows) in head of pancreas at same site as in A and B.

View larger version (119K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 2A —39-year-old man with hilar cholangiocarcinoma. Axial unenhanced CT scan shows ovoid, low-attenuation lesion (arrows) without bulging contour in anterior aspect of head of pancreas and abutting superior mesenteric vein. Attenuation value of lesion is -33 H.

View larger version (122K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 2B —39-year-old man with hilar cholangiocarcinoma. Axial contrast-enhanced CT scan corresponding to A shows heterogeneous enhancement (arrows) of low-attenuation area in head of pancreas. Attenuation value of lesion is 4 H.

View larger version (123K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 2C —39-year-old man with hilar cholangiocarcinoma. Transverse in-phase MR image (TR/TE, 152/5.3) shows no focal lesion in head of pancreas.

View larger version (136K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 2D —39-year-old man with hilar cholangiocarcinoma. Transverse opposed-phase MR image (152/2.7) corresponding to C shows hypointense mass (arrows) in head of pancreas not present in C.

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