Pancreas Images

Question 1

Question 2

Question 3

Answer 3

Dilated MPD

Typically due to stones within the MPD, from chronic pancreatitis or a stone at the Ampulla of Vater

Question 4

Answer 4

Dilated MPD

Typically from stones in the MPD, from chronic pancreatitis or a stone at the Ampulla of Vater

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Answer 5

Dilation of the MPD

Typically due to stones in the MPD, from chronic pancreatitis or a stone at the Ampulla of Vater

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Answer 6

Cystic Fibrosis in CHILD

(small pancreas with areas of incread echogenicity)

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Answer 7

Cystic Fibrosis in ADULT

Hypoechoic areas (fibrosis), small anechoic areas (small cysts), tiny echogenic foci with acoustic shadowing (calcification)

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Answer 8

Acute Pancreatitis

(enlarged hypoechoic gland - may not be the case in milder forms of acute pancreatitis)

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Answer 9

Acute Pancreatitis

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Answer 10

Acute Pancreatitis

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Answer 11

Acute Pancreatitis

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Answer 12

Acute Pancreatitis

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Answer 13

Acute Pancreatitis

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Answer 14

Acute Pancreatitis

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Answer 15

Acute Pancreatitis with a pseudocyst

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Answer 16

Pseudocyst

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Answer 17

Pseudocyst

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Answer 18

Pseudocyst

(newer, because it hasn’t started bleeding within itself)

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Answer 19

Psuedocyst with enlarged Pancreas

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Answer 20

Chronic Pancreatitis

(small, echogenic pancreas, calcifications, PV thrombosis due to poor bloodflow, BD dilation, pseudocyst formation, pancreatic duct dilation)

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Answer 21

Chronic Pancreatitis

(small, echogenic pancreas, calcifications, PV thrombosis due to poor bloodflow, BD dilation, pseudocyst formation, pancreatic duct dilation)

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Answer 22

Phlegmon Pancreatitis

(non-encapsulated inflammatory process, hypoechoic with good through transmission)

seems to be like a cyst without the “shell”, free-flowing

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Answer 23

Adenocarcinoma

(typically arises from pancreas head, obstucts the CBD and MPD, tumor surrounds SMV at the junction with the SV, paraaortic and celiac lymphnodes with small liver metasis)

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Answer 24

Adenocarcinoma (pancreatic carcinoma)

hypoechoic, solid mass

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Answer 25

Adenocarcinoma (pancreatic carcinoma)

hypoechoic, solid mass

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Answer 26

small liver lesion with typical appearance of metastasis

(as part of adenocarcinoma?)

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Answer 27

hypoechoic pancreatic head tumor obstructing MPD

(with adenocarcinoma?)

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Answer 28

Adenocarcinoma

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Answer 29

Adenocarcinoma

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Answer 30

Adenocarcinoma

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Answer 31

LEFT: slude-filled GB

RIGHT: intrahepatic dilated ducts

(adenocarcinoma?)

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Answer 32

dilated CBD ending in a mass

(adenocarcinoma)

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Answer 33

Pancreatic head carcinoma (adenocarcinoma) with dilated CBD and hetergeneous mass

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Answer 34

Pancreatic head carcinoma (adenocarcinoma) with a vascularized hetergeneous mass

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Answer 35

distant metastasis in the liver

(with adenocarcinoma?)

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Answer 36

Dilated MPD

(with lymph node to the right of the portosplenic confluence)

(with adenocarcinoma?)

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Answer 37

Invasion of the duodenum (adenocarcinoma)

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Answer 38

Ductal Adenocarcinoma

(dilated CBD with mass)

Question 39

Answer 39

Serous cystadenoma (benign)

**Cluster of Grapes**

Question 40

Answer 40

Mucinous cystic neoplasm

(develope predominantly in the tail)

Question 41

Answer 41

Insulinoma

**Most common ISLET CELL tumor**

Question 42

Answer 42

Insulinoma

**Most common ISLET CELL tumor**

(round/oval, well-circumscribed, hypoechoic)