PMC5925152_01
Initial MRCP showing pancreatic head mass with nonenhancing areas in the center.
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fig1
Magnetic resonance imaging (MRCP) showed a 4.1 x 2.6 cm mass in the pancreatic head encasing the portal vein with multiple central areas of nonenhancement (Figure 1).
Necrotic material on the needle aspiration smear (H&E stain).
CRIGM2018-7871503.002.jpg
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fig2
Endoscopic ultrasound (EUS) with fine-needle aspiration (FNA) was performed which showed a heterogeneous hyperechoic pancreatic lesion which on histopathology revealed areas of coagulation necrosis, lymphocytes, and epithelioid histiocytes suggestive of granulomatous inflammation (Figure 2).