PMC2627176_01
A 4-year-old boy with pancreatic metastasis who had been treated for stage 4 neuroblastoma.. A. Contrast-enhanced CT scan shows a 2.5 cm sized mass (arrow) in the left adrenal gland. Surgery was performed after chemotherapy. The pathologic diagnosis was ganglioneuroblastoma.. B. Contrast-enhanced CT scan demonstrates multiple small low attenuated nodular lesions in the pancreas (arrows).. C. CT at three weeks after B shows marked diffuse swelling of the pancreas with an increase in size of multiple pancreatic masses throughout the entire pancreas. There are multifocal peripancreatic fluid collections caused by the combined pancreatitis.. D. Abdominal sonography performed two weeks after C shows dilated intrahepatic ducts (arrows) due to obstruction by the pancreatic mass.
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F1
On admission, a 2.5 cm sized left adrenal mass was detected on the contrast-enhanced CT (Fig. 1A). At that time, contrast-enhanced CT scan of the abdomen demonstrated multiple small low attenuated nodular lesions in the pancreas (Fig. 1B). Contrast-enhanced abdominal CT showed diffuse swelling of the pancreas with an increase in the size of multiple pancreatic masses throughout the entire pancreas (Fig. 1C). After two weeks, progressive dilatation of the intrahepatic duct was noted on the follow up sonography; this was due to obstruction of the common bile duct by the pancreatic mass (Fig. 1D).