A 21-year-old female patient with recently diagnosed (with genetic testing after a recent diagnosis of her elder sister) VHL underwent a baseline CT exam. Axial plane post-contrast pancreatic phase CT image shows a predominantly cystic lesion in the uncinate process (arrows) with enhancing mildly thickened internal septation (arrowhead). The lesion was found to be highly suspicious of a cystic NET. Surgical removal and histopathological examination confirmed the presence of cystic NET