A Case of Pancreatic Neuroendocrine Tumor with Liver Metastases Demonstrating the Possibility of Enhanced ACTH Production by the SACI Test

Figure 1

Findings of dynamic CT. (a-b) A tumor showing cystic degeneration was found in the pancreatic tail that showed gradually progressive staining from the arterial phase to the equilibrium phase. (c-d) Multiple liver metastases were also present in this case, one of which in the liver S8 showed the same contrast enhancement pattern as the pancreatic lesion. (e) Significant bilateral adrenal gland enlargement is seen. (f) Ground-glass appearance of both lungs with some infiltrative opacities, possibly suggestive of pneumocystis carinii pneumonia. (g) Compression fractures of the thoracolumbar spine due to osteoporosis.