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So here we have a case, uh, adult patient

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here, which is presenting with pain in abdomen.

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And as we scroll through the coronal

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images on T2-weighted sequences, we can see the

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main pancreatic duct is draining where it is

0:16

expected to, the major papilla, along with the CVD.

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And the pancreas is showing a normal

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homogeneous pattern, which is expected

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on T2 with lobulations present.

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But as soon as we scroll further, we

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can see there is some tissue outside the

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lateral wall of the duodenum as well.

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And that looks kind of hazy here,

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that gives a suspicion and then we

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can see the duct actually within that

0:43

tissue, which is encircling the duodenum.

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And that raises the suspicion that it

0:48

is possibly a case of annular pancreas.

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What we will do here, we will pick up axial

0:54

and try to find if it is a real finding.

0:57

And we see again the tissue is present, so this is

1:01

the duodenal lumen and tissue is present outside.

1:06

On T2-weighted fat suppress images,

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the contrast between the fat-suppressed

1:11

retroperitoneal fat itself is not great.

1:14

So sometimes these findings are not really well

1:16

seen, but this case is actually very classical.

1:19

We can see the entire ring and if you

1:21

really have a doubt still, we can go

1:23

to the post-contrast images and see

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if there is real tissue there or not.

1:28

And we can see the duodenal lumen is present here

1:30

and that enters the parenchyma and then we

1:33

see the parenchymal tissue is going outwards

1:37

towards the lumen and that confirms that it is.

1:40

See, we can see here, the tissue is outside

1:43

the duodenal wall and the lumen, and that is

1:47

a classical presentation of annular pancreas.

1:50

In this patient, we have seen some complex cystic

1:52

lesions in the splenic dome as well, and they

1:56

are complex, and they are showing multilocules,

1:59

there is some enhancing septation inside, and

2:02

that is basically lymphangioma of the spleen,

2:04

that is incidentally seen in this patient.