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Fig. 1. —Atypical appearance of pancreatic insulinoma in 29-year-old woman. Multiphase helical CT scan obtained during pancreatic phase shows low-density cystic-appearing tumor (arrow) in pancreatic tail. Note surrounding decreased enhancement of pancreatic parenchyma. This patient previously underwent intraoperative exploration that did not detect insulinoma. Lack of enhancement may be caused by devascularization that occurred at time of surgery.

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