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(a) Axial contrast-enhanced CT (CECT) image shows a thick-walled cystic lesion (thick arrow) with a suspicious mural nodule (thin arrow) in the pancreatic tail. The patient was lost to follow-up and a repeat CECT was performed 1 year later. (b) Axial CECT image shows significant increase in size of pancreatic mass (thick arrow) with eccentric solid component, also larger. The patient also developed hepatic metastasis in the interval (star).
