Peripancreatic Mass of Unknown Origin

Question: A 66-year-old man with past medical history of asthma, hypertension, type 2 diabetes mellitus, chronic kidney disease, hypoganadism, and gynecomastia presented with acute abdominal pain that led to an emergency room computed tomography (CT) scan revealing kidney stones. He was then referred to urology for long-term management. Surprisingly, a new mass near his pancreas and stomach was found in the repeat CT scan (Figure A). The homogenous-appearing lesion identified adjacent to the pancreatic body was measured to be about 3.7 cm and demonstrated calcification.

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