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Click 35-year-old women with a solid pseudopappilary tumor. Ultrasound in transverse, longitudinal and oblique planes, transabdominal approach. A well circumscribed nodular retroperitoneal lesion is depicted, just posteriorly to the pancreas; it is solid, heterogeneous, slightly hypoechoic to the adjacent pancreatic parenchyma, with no signs of local invasion. No hepatomelagy nor splenomegaly. (GE Logic 7 Pro, curved transducer, 3.5-5 Mhz).

Click 35-year-old women with a solid pseudopappilary tumor. Axial CT scans depicts a sharply marginated retroperitoneal, solid and hypovascular lesion. Precontrast scan shows homogeneous, slightly hypoattenuating lesion (arrow) posterior to the body and the tail of pancreas. There is neither ductal dilatation nor pancreatic atrophy. In the remaining study (not shown), there were no lymph node enlargement or nodules in abdominal solid organs, such as liver, kidney or spleen, suggesting metastasis. Positive oral contrast was given to the patient. Protocol: GE BrightSpeed S 4 slices; 3.75 mm slice thickness; 120 KV; 80 mA; 100 ml intravenous ioxitalamate meglumine 300mg/ml, at 3,5mL/sec injection rate; Positive oral contrast. Acquisitions before and after contrast administration during the arterial, portal and equilibrium phase. The equilibrium phase was acquired in a shorter extension in order to diminish radiation dose to the patient.

Click 35-year-old women with a solid pseudopappilary tumor. Axial CT scan depicts a sharply marginated retroperitoneal, solid and hypovascular lesion. Scan obtained during pancreatic phase shows hypoattenuating lesion, with clear border, without infiltration of perilesional fat, displacing the celiac trunk anteriorly (open arrow), and the pancreatic tail anterolaterally. There is neither ductal dilatation nor pancreatic atrophy. In the remaining study (not shown), there were no lymph node enlargement or nodules in abdominal solid organs, such as liver, kidney or spleen, suggesting metastasis. Positive oral contrast was given to the patient. Protocol: GE BrightSpeed S 4 slices; 3.75 mm slice thickness; 120 KV; 80 mA; 100 ml intravenous ioxitalamate meglumine 300mg/ml, at 3,5mL/sec injection rate; Positive oral contrast. Acquisitions before and after contrast administration during the arterial, portal and equilibrium phase. The equilibrium phase was acquired in a shorter extension in order to diminish radiation dose to the patient.

Click 35-year-old women with a solid pseudopappilary tumor. Axial CT scan depicts a sharply marginated retroperitoneal, solid and hypovascular lesion. On scan obtained during portal venous phase, the lesion shows progressive enhancement, but is still hypoattenuating compared with pancreatic parenchyma. There is neither ductal dilatation nor pancreatic atrophy. In the remaining study (not shown), there were no lymph node enlargement or nodules in abdominal solid organs, such as liver, kidney or spleen, suggesting metastasis. Positive oral contrast was given to the patient. Protocol: GE BrightSpeed S 4 slices; 3.75 mm slice thickness; 120 KV; 80 mA; 100 ml intravenous ioxitalamate meglumine 300mg/ml, at 3,5mL/sec injection rate; Positive oral contrast. Acquisitions before and after contrast administration during the arterial, portal and equilibrium phase. The equilibrium phase was acquired in a shorter extension in order to diminish radiation dose to the patient.

Click 35-year-old women with a solid pseudopappilary tumor. Axial CT scan depicts a sharply marginated retroperitoneal, solid and hypovascular lesion. On scan obtained during delayed phase, the lesion shows progressive enhancement, but is still hypoattenuating compared with pancreatic parenchyma. There is neither ductal dilatation nor pancreatic atrophy. In the remaining study (not shown), there were no lymph node enlargement or nodules in abdominal solid organs, such as liver, kidney or spleen, suggesting metastasis. Positive oral contrast was given to the patient. Protocol: GE BrightSpeed S 4 slices; 3.75 mm slice thickness; 120 KV; 80 mA; 100 ml intravenous ioxitalamate meglumine 300mg/ml, at 3,5mL/sec injection rate; Positive oral contrast. Acquisitions before and after contrast administration during the arterial, portal and equilibrium phase. The equilibrium phase was acquired in a shorter extension in order to diminish radiation dose to the patient.

Click 35-year-old women with a solid pseudopappilary tumor. Coronal reformatted CT scan depicts a sharply marginated retroperitoneal, solid and hypovascular lesion. Scan obtained during pancreatic phase shows hypoattenuating lesion, with clear border, without infiltration of perilesional fat, displacing the celiac trunk anteriorly (open arrow), and the pancreatic tail anterolaterally. There is neither ductal dilatation nor pancreatic atrophy. In the remaining study (not shown), there were no lymph node enlargement or nodules in abdominal solid organs, such as liver, kidney or spleen, suggesting metastasis. Positive oral contrast was given to the patient. Protocol: GE BrightSpeed S 4 slices; 3.75 mm slice thickness; 120 KV; 80 mA; 100 ml intravenous ioxitalamate meglumine 300mg/ml, at 3,5mL/sec injection rate; Positive oral contrast. Acquisitions before and after contrast administration during the arterial, portal and equilibrium phase. The equilibrium phase was acquired in a shorter extension in order to diminish radiation dose to the patient.

Click 35-year-old women with a solid pseudopappilary tumor. A well-defined, hyperintense on T2-wi and hypointense on T1-wi is depicted adjacent to the posterior border of the pancreatic body-tail. No signal loss in out-of-phase (chemical-shift) images excludes the presence of microscopic fat content of the lesion. After intravenous contrast administration, the lesion demonstrates a well defined, intermediate signal intensity lesion with progressive enhancement, inferior to the adjacent normal pancreas overall. Fat cleavage plane with pancreatic gland is loss, but no signs of local invasion are identified. The lesion displaces the celiac trunk anteriorly, and the pancreatic tail anterolaterally. The boundaries with left adrenal gland and with diaphragmatic crus are preserved. Protocol: Axial T2-wi fat-suppressed; TR: 1651; TE: 70; ET: 26; 7,5 thick / 1,5 space; Philips Intera 1.5 T.

Click 35-year-old women with a solid pseudopappilary tumor. A well-defined, hyperintense on T2-wi and hypointense on T1-wi is depicted adjacent to the posterior border of the pancreatic body-tail. No signal loss in out-of-phase (chemical-shift) images excludes the presence of microscopic fat content of the lesion. After intravenous contrast administration, the lesion demonstrates a well defined, intermediate signal intensity lesion with progressive enhancement, inferior to the adjacent normal pancreas overall. Fat cleavage plane with pancreatic gland is loss, but no signs of local invasion are identified. The lesion displaces the celiac trunk anteriorly, and the pancreatic tail anterolaterally. The boundaries with left adrenal gland and with diaphragmatic crus are preserved. Protocol: Coronal T2; TR: 838; TE: 80; ET: 92; 3,5 thick / 0 space; Philips Intera 1.5 T.

Click 35-year-old women with a solid pseudopappilary tumor. A well-defined, hyperintense on T2-wi and hypointense on T1-wi is depicted adjacent to the posterior border of the pancreatic body-tail. No signal loss in out-of-phase (chemical-shift) images excludes the presence of microscopic fat content of the lesion. After intravenous contrast administration, the lesion demonstrates a well defined, intermediate signal intensity lesion with progressive enhancement, inferior to the adjacent normal pancreas overall. Fat cleavage plane with pancreatic gland is loss, but no signs of local invasion are identified. The lesion displaces the celiac trunk anteriorly, and the pancreatic tail anterolaterally. The boundaries with left adrenal gland and with diaphragmatic crus are preserved. Protocol: Axial T1-wi in-phase; TR: 171; TE: 4.6; ET: 2; 7,0 thick / 1,5 space; Philips Intera 1.5 T.

Click 35-year-old women with a solid pseudopappilary tumor. A well-defined, hyperintense on T2-wi and hypointense on T1-wi is depicted adjacent to the posterior border of the pancreatic body-tail. No signal loss in out-of-phase (chemical-shift) images excludes the presence of microscopic fat content of the lesion. After intravenous contrast administration, the lesion demonstrates a well defined, intermediate signal intensity lesion with progressive enhancement, inferior to the adjacent normal pancreas overall. Fat cleavage plane with pancreatic gland is loss, but no signs of local invasion are identified. The lesion displaces the celiac trunk anteriorly, and the pancreatic tail anterolaterally. The boundaries with left adrenal gland and with diaphragmatic crus are preserved. Protocol: Axial T1-wi out-phase; TR:171; TE: 2.3; ET: 2; 7,0 thick / 1,5 space; Philips Intera 1.5 T.

Click 35-year-old women with a solid pseudopappilary tumor. A well-defined, hyperintense on T2-wi and hypointense on T1-wi is depicted adjacent to the posterior border of the pancreatic body-tail. No signal loss in out-of-phase (chemical-shift) images excludes the presence of microscopic fat content of the lesion. After intravenous contrast administration, the lesion demonstrates a well defined, intermediate signal intensity lesion with progressive enhancement, inferior to the adjacent normal pancreas overall. Fat cleavage plane with pancreatic gland is loss, but no signs of local invasion are identified. The lesion displaces the celiac trunk anteriorly, and the pancreatic tail anterolaterally. The boundaries with left adrenal gland and with diaphragmatic crus are preserved. Protocol: Three-dimensional T1-w gradient-eco with fat suppression - acquisitions before contrast administration; 5,0 thick / -2,5 sp; TE=3.6; TR=1.7; Flip angle 15?. 90ml intravenous gadolinium at a 3,5ml/s injection rate. Philips Intera 1.5 T.

Click 35-year-old women with a solid pseudopappilary tumor. A well-defined, hyperintense on T2-wi and hypointense on T1-wi is depicted adjacent to the posterior border of the pancreatic body-tail. No signal loss in out-of-phase (chemical-shift) images excludes the presence of microscopic fat content of the lesion. After intravenous contrast administration, the lesion demonstrates a well defined, intermediate signal intensity lesion with progressive enhancement, inferior to the adjacent normal pancreas overall. Fat cleavage plane with pancreatic gland is loss, but no signs of local invasion are identified. The lesion displaces the celiac trunk anteriorly, and the pancreatic tail anterolaterally. The boundaries with left adrenal gland and with diaphragmatic crus are preserved. Protocol: Three-dimensional T1-w gradient-eco with fat suppression - acquisitions after contrast administration during the arterial phase; 5,0 thick / -2,5 sp; TE=3.6; TR=1.7; Flip angle 15?. 90ml intravenous gadolinium at a 3,5ml/s injection rate. Philips Intera 1.5 T.

Click 35-year-old women with a solid pseudopappilary tumor. A well-defined, hyperintense on T2-wi and hypointense on T1-wi is depicted adjacent to the posterior border of the pancreatic body-tail. No signal loss in out-of-phase (chemical-shift) images excludes the presence of microscopic fat content of the lesion. After intravenous contrast administration, the lesion demonstrates a well defined, intermediate signal intensity lesion with progressive enhancement, inferior to the adjacent normal pancreas overall. Fat cleavage plane with pancreatic gland is loss, but no signs of local invasion are identified. The lesion displaces the celiac trunk anteriorly, and the pancreatic tail anterolaterally. The boundaries with left adrenal gland and with diaphragmatic crus are preserved. Protocol: Three-dimensional T1-w gradient-eco with fat suppression - acquisitions after contrast administration during the portal phase; 5,0 thick / -2,5 sp; TE=3.6; TR=1.7; Flip angle 15?. 90ml intravenous gadolinium at a 3,5ml/s injection rate. Philips Intera 1.5 T.

Click 35-year-old women with a solid pseudopappilary tumor. A well-defined, hyperintense on T2-wi and hypointense on T1-wi is depicted adjacent to the posterior border of the pancreatic body-tail. No signal loss in out-of-phase (chemical-shift) images excludes the presence of microscopic fat content of the lesion. After intravenous contrast administration, the lesion demonstrates a well defined, intermediate signal intensity lesion with progressive enhancement, inferior to the adjacent normal pancreas overall. Fat cleavage plane with pancreatic gland is loss, but no signs of local invasion are identified. The lesion displaces the celiac trunk anteriorly, and the pancreatic tail anterolaterally. The boundaries with left adrenal gland and with diaphragmatic crus are preserved. Protocol: Three-dimensional T1-w gradient-eco with fat suppression - acquisitions after contrast administration during the equilibrium phase; 5,0 thick / -2,5 sp; TE=3.6; TR=1.7; Flip angle 15?. 90ml intravenous gadolinium at a 3,5ml/s injection rate. Philips Intera 1.5 T.