TY - JOUR T1 - IMage of the month—quiz case AU - Dorsey F, Taggart MW, Fisher WE Y1 - 2010/09/01 N1 - 10.1001/archsurg.2010.172-a JO - Archives of Surgery SP - 913 EP - 913 VL - 145 IS - 9 N2 - A 54-year-old woman presented with chronic intermittent sharp midepigastric abdominal pain. She denied having jaundice or a change in her bowel function but admitted to a 5.4-kg weight loss over 3 months. Medical, surgical, family, and social histories were unremarkable. There was no history of neurofibromatosis 1. The results of physical examination and routine laboratory tests, including liver function tests, were normal. A right upper quadrant ultrasonographic and computed tomographic (CT) scan with contrast revealed a 1.4-cm enhancing lesion in the head of the pancreas without duct dilation (Figure 1). SN - 0004-0010 M3 - doi: 10.1001/archsurg.2010.172-a UR - http://dx.doi.org/10.1001/archsurg.2010.172-a ER -