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Fig. 16. —Pancreatic carcinoma simulates mucinous cystic neoplasm in 63-year-old woman who presented with left upper quadrant pain and no history of alcohol abuse. Contrast-enhanced CT scan revealed complex mass (straight arrows) in pancreatic tail. There is extension of this mass (arrowhead) into spleen, with splenic infarction and thrombosed splenic vein. Adjacent pancreas (curved arrow) is abnormally low in attenuation. At surgery, pancreatic ductal carcinoma was found with extensive local spread and associated pseudocyst.

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