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. 2016 Jun 27;17(4):509–521. doi: 10.3348/kjr.2016.17.4.509

Table 2. Characteristic Imaging Features of Each of Solid Pancreatic Lesions Used for Making Specific Diagnosis.

Diagnosis Characteristic Imaging Features
PDAC Low signal intensity on fat suppressed T1W images
Poor enhancement on dynamic studies
Ill-defined margin
Upstream pancreatic ductal dilatation and parenchymal atrophy with/without bile duct obstruction
NET Hyperenhancement than pancreas parenchyma on the arterial and/or pancreatic phase
Discrete margin and lack of adjacent vascular invasion
Absence or mild degree of pancreatic ductal dilatation
SPT Strong prevalence among middle-aged women
Well-defined margin
Intratumoral high signal intensity on fat suppressed T1W images, suggestive of hemorrhage
Early, heterogeneous, slowly progressive enhancement pattern
Mass-forming AIP Hypoenhancing mass like lesion during dynamic phases
Capsule-like rim enhancement
Delayed enhancement
Absence of bile-duct or pancreatic duct stricture
Irregular or geographic shape rather than round, oval or lobulated shape
Metastasis Multiple solid pancreatic lesions
Stronger enhancing masses than pancreas parenchyma if primary malignancy is RCC (evidence of previous nephrectomy or partial nephrectomy)
Hypoenhancing masses if primary malignancy is not RCC
Discrete margin

AIP = autoimmune pancreatitis, NET = neuroendocrine tumor, PDAC = pancreatic ductal adenocarcinoma, RCC = renal cell carcinoma, SPT = solid pseudopapillary tumor, T1W = T1-weighted