31 Microcystic Adenoma (Serous Cystadenoma) of the Pancreas

Clinical Presentation

A 63-year-old woman complains of epigastric discomfort.

Fig. 31.1 (A) Axial postcontrast CT image shows a well-defined low-density lesion with fine septations in the body of the pancreas. (B) Axial T2-weighted image in the same patient shows a well-defined hyperintense mass lesion within the body of the pancreas with a central scar (arrow).

Radiologic Findings

Postcontrast axial computed tomography (CT) and magnetic resonance (MR) (Fig. 31.1) images of the pancreas show a well-defined cystic lesion in the body of the pancreas with enhancing thin septation and a central scar.