title: Focal fatty infiltration in the head of the pancreas: evaluation with multidetector computed tomography with multiplanar reformation imaging.
abstract: Fatty infiltration of the pancreas is generally a diffuse process; however, it may be unevenly distributed in the pancreas. Focal fatty infiltration of the pancreas is usually most prominent in the anterior aspect of the head of the pancreas and seen as a region of decreased attenuation on computed tomography and may simulate pancreatic neoplasm. We discuss and illustrate the various features of focal fatty infiltration of the pancreas on multidetector row helical computed tomography with multiplanar reformation images and show how this imaging modality helps to differentiate between focal fatty infiltration of the pancreas and actual pancreatic tumors.
authors.affiliation: The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Hospital, Baltimore, MD 21287, USA. skawamo1@jhmi.edu
authors.forename: Satomi
authors.initials: S
authors.lastname: Kawamoto
authors.forename: Stanley S
authors.initials: SS
authors.lastname: Siegelman
authors.forename: David A
authors.initials: DA
authors.lastname: Bluemke
authors.forename: Ralph H
authors.initials: RH
authors.lastname: Hruban
authors.forename: Elliot K
authors.initials: EK
authors.lastname: Fishman
mesh_terms: D000273:Adipose Tissue / Q000000981:diagnostic imaging* / Q000473:pathology*; D001284:Atrophy / Q000000981:diagnostic imaging; D006801:Humans; D010179:Pancreas / Q000000981:diagnostic imaging*; D010182:Pancreatic Diseases / Q000000981:diagnostic imaging*; D011856:Radiographic Image Enhancement / Q000379:methods*; D014057:Tomography, X-Ray Computed / Q000379:methods*