Radiology Resident Case of the Week
Clinical Sx:
s/p cerebeller tumor resection
Etiology/Pathophysiology
Pathology:
Miscellaneous
Imaging
Multiple pancreatic cysts and a few of renal cysts on abdominal CT. well enhanced posterior fossa tumor and foci in the cervical/thracic spinal cord on MRI.
DDX
The differential of multiple pancreatic cysts include inflammatory cysts(pseudocysts-mosy common, abscess, echinococcus cyst), Neoplastic cysts(microcystic adenoma, cystic teratoma, mucinous cystic ca., solid and papillary epitherial neoplasm, lymphoma, etc.), and congenital cysts( adult polycystic kidney disease, von Hippel-Lindsu disease, cystic fibrosis). In this case, cerebeller and spinal hemangioblastoma suggest von Hippel-Lindau disease. CNS hemangioblastoma and at least one lesion of VHL complex satisfies diagnostic criteria.
Key references
Cystic mass of the pancreas Radiographics 1992;12:673-686
ACR Code
Keywords:
pancreatic cyst