case_images: PMC11191613_01
case_images: Contrast enhanced CT abdomen and thorax. (a) axial section at the level of pancreas showing atrophic pancreas, pancreatic calcifications (white arrows), dilated main pancreatic duct (yellow arrow), and pseudocyst (red circle). (b) and (c) axial section at the level of proximal abdominal aorta. A well-defined fluid density (red circle) that is the pseudocyst can be seen extending proximally through the aortic hiatus. The pseudocyst is related anteriorly to the left lobe of liver (b) and the body of stomach (c), and posteriorly to the aorta. (d) Intrathoracic extension of the pseudocyst (red circle) into the posterior mediastinum. It is related to the left atrium anteriorly. The esophagus is compressed and displaced anterolaterally.
case_images: 10.1177_2050313X241262139-fig1.jpg
case_images: PMC11191613_01_10.1177_2050313X241262139-fig1.jpg
case_images: fig1-2050313X241262139
case_images: A CT scan of the thorax and abdomen was then ordered and showed an atrophic pancreas along with calcification and dilated main pancreatic duct (Figure 1(a)). Surprisingly, a well-defined, thin-walled cyst was seen that extended from the superior peripancreatic region into the posterior mediastinum as far as the subcarinal area anterior to the descending thoracic aorta (Figure 1(b)-(d)).