Pancreatic neuroendocrine tumors- multiple endocrine neoplasia (*MEN)

An approximately 5 x 4.8 x 4.7 cm multiloculated complex cystic heterogeneously enhancing mass lesion involving the pancreatic neck with partial exophytic component slightly indenting the posterior wall of gastric antrum without invasion – *represents pancreatic neoplasm*

*Focal nodular thickening at medial wall of D1 segment of duodenum, measuring 2.8 x 1.5 cm* demonstrating mild to moderate homogeneous enhancement without transmural infiltration – ? neoplastic

Normal main pancreatic duct. No evidence of surrounding invasion. No significant lymphadenopathy

Features of concern for multiple endocrine neoplasia (*MEN)

Recommend HPE correlation, upper GI endoscopy, further evaluation , follow up
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Dr Ashutosh Pawale