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case_images: CT thorax/abdomen revealed cystic changes in tail/body of pancreas (arrow).
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case_images: Therefore, the Department of Oncology referred the patient to Computed Tomography (CT) of thorax and abdomen, which revealed irregularities in the right lobe of the liver along with edema and cystic changes in the tail of the pancreas (Figure 1).
case_images: PET/CT revealed increased FDG uptake in liver (arrow) and pancreas (dotted arrow).
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case_images: Suspect lesion in the pancreas visualized by EUS-B (a, arrow). EUS-B-FNA from the suspected lesion in pancreas (b, dotted arrow).
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case_images: EBUS followed by EUS-B, where the suspected pancreatic lesion was visualized as a hyperechoic mass with irregular borders and biopsied using EUS-B-FNA (Figures 3A, B). EUS-B was chosen over the conventional EUS because sampling from the suspected pancreatic lesion could be combined with sampling from the suspected mediastinal lymph nodes into a single procedure, sparing the patient time, referral to another specialist, and an additional intervention. 
case_images: Pathology result from the suspected lesion in the pancreas show squamous-cell carcinoma, metastasis from previous lung cancer.
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