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Figure 29


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.





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