PMC6333533_01
Axial CT image of pancreatic pseudocyst (black arrow) with extension to portal venous system (white arrow).
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Fig. 1 and Fig. 2 ). Further FNA of the liver cyst demonstrated fluid rich in amylase and lipase (1950 U/L and 3389 U/L, respectively), suggesting a pancreatic origin.
PMC6333533_02
Coronal CT image shows hypodense fluid in pancreatic pseudocyst (black arrow) communicating with the main portal vein (white arrow).
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Repeat abdominal CT showed evidence of complex fluid within the portal venous system, suspicious for a pancreatic pseudocyst origin ( Fig. 3 ).
Coronal image showing cyst-gastrostomy stent (white arrow) in place with drainage of the pancreatic pseudocyst and portal venous system.
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Abdominal CT 2 weeks later showed successful decompression of the pancreatic pseudocyst and resolving hepatic pseudocyst ( Fig. 4 ).