IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Serous cystadenoma of the pancreas

Case contributed by Michael P Hartung
Diagnosis almost certain

Presentation

Abdominal discomfort.

Patient Data

Age: 70 years
Gender: Female

Multiloculated microcystic mass in the pancreatic body resembling a honeycomb. Few fine calficiations. Slightly more dense appearance centrally likely a central scar. No pancreatic ductal dilation. 

Mildly dilated common bile duct. Possible small filling defects in the distal CBD indicating choledocholithiasis. 

Case Discussion

Classic appearance of a benign serous cystadenoma in an older female with honeycomb appearance and central scar. 

Generally these are monitored if less than 4cm and not resulting in symptoms. This patient underwent a non-diagnostic FNA, but no further intervention. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.