Jessica Lai MD, Presenter: Nothing to Disclose

Stephen Thomas MD, Abstract Co-Author: Nothing to Disclose

Aysegul Cansu, Abstract Co-Author: Nothing to Disclose

Melvy Sarah Mathew MD, Abstract Co-Author: Nothing to Disclose

Aytekin Oto MD, Abstract Co-Author: Research Grant, Koninklijke Philips NV Consultant, Guerbet SA

Review characteristic imaging findings of incidental pancreatic lesions. Discuss guidelines for the work-up and management options. Provide a suggested approach to evaluating incidental pancreatic lesions.

Problem of incidental pancreatic lesions Goals and work-up options  Guidelines -International consensus -ACR Our suggested approach (reviewing imaging findings and recommended management of lesions) -Is a lesion cystic or a mimic? Duodenal diverticulum Solid lesions (adenocarcinoma, metastases, rare tumors) Vascular lesions (thrombosed pseudoaneurysm, varices) -Does the lesion communicate with the pancreatic duct? IPMN -Is the lesion microcystic? Serous cystadenoma IPMN -Is the lesion macrocystic? Mucinous cystadeno(carcinoma) Macrocystic serous cystadenoma Cystic neuroendocrine tumor Lymphoepithelial cyst Pseudocyst -Is there a solid component/thick septation/mural nodule? Mucinous cystadeno(carcinoma) Solid and papillary neoplasm Cystic neuroendocrine tumor Lymphoepithelial Cysts Pancreatic adenocarcinoma -Is the lesion solid? Focal fat Pancreatic adenocarcinoma Islet cell tumor Pancreatic duct stricture Intrapancreatic spleen  

http://abstract.rsna.org/uploads/2014/14004585/14004585_4xf3.pdf

Lai, J, Thomas, S, Cansu, A, Mathew, M, Oto, A, Incidental Pancreatic Lesions: Imaging Diagnosis and Management Considerations.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14004585.html