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Fig. 14C 49-year-old woman (same patient as in Figs.
1 and
7) with MDCT reportedly
showing focal nodular hyperplasia in liver. Coronal T1-weighted fat-suppressed
spoiled gradient-echo MR image shows intensely enhancing lesion
(arrow) in pancreas. This hypervascular pancreatic lesion is highly
suggestive of islet cell tumor, which surgery confirmed. In addition,
hypervascular metastases, as seen in this example, are not typical of
adenocarcinoma of pancreas. Consequently, liver lesions were thought to
represent metastases.