case_images: PMC5925152_01
case_images: Initial MRCP showing pancreatic head mass with nonenhancing areas in the center.
case_images: CRIGM2018-7871503.001.jpg
case_images: PMC5925152_01_CRIGM2018-7871503.001.jpg
case_images: fig1
case_images: Magnetic resonance imaging (MRCP) showed a 4.1 x 2.6 cm mass in the pancreatic head encasing the portal vein with multiple central areas of nonenhancement (Figure 1).
case_images: Necrotic material on the needle aspiration smear (H&E stain).
case_images: CRIGM2018-7871503.002.jpg
case_images: PMC5925152_01_CRIGM2018-7871503.002.jpg
case_images: fig2
case_images: Endoscopic ultrasound (EUS) with fine-needle aspiration (FNA) was performed which showed a heterogeneous hyperechoic pancreatic lesion which on histopathology revealed areas of coagulation necrosis, lymphocytes, and epithelioid histiocytes suggestive of granulomatous inflammation (Figure 2).