A 36-year-old non-smoker, chronic alcoholic female presented with recurrent episodes of epigastric pain and vomiting in the last 10 days. H/o similar episodes of pain 3 times, with last episode was noted 2 months back. She also had history of vomiting (3 episodes). Jaundice/melena/steatorrheas was not observed. Subsequently, contrast-enhanced computed tomography (CECT) of the patient was done and it showed well defined multiple cystic lesions with peripheral wall enhancement involving head and body of pancreas, largest measuring 24 X 22 X 22 mm in the head of the pancreas, the lesion was seen abutting antro-pyloric region anteriorly. Main pancreatic is mildly dilated measuring 4 mm in diameter. A well-defined heterogeneously hypodense (necrotic) para duodenal lesion, was noted inferior to uncinate process, m/s 22 X 20 X 20 mm, which is indicative of lymph nodal deposit. On magnetic resonance cholangiopancreatography (MRCP): few cystic lesions were seen scattered in the pancreatic parenchyma, with one of the cysts showing communication with main pancreatic duct (MPD) ab.

A 5-year-old male child presented with complaints of abdominal pain, swelling, yellowish discoloration of eyes and altered stools for 4 months. No h/o fever/similar complaints in family/recent vaccinations/recent travel/blood transfusion. Normal vaccination for age. Subsequently contrast enhanced computed tomography (CECT) of the patient was done and it showed – ill-defined heterogeneously enhancing mass lesion measuring 68 mm x 50 mm x 70 mm at the level of confluence of right and left hepatic duct with upstream dilatation of intra-hepatic biliary radicles. Lesion is seen encasing portal vein, hepatic artery with no evidence of tumour thrombosis. Moderate ascites, few heterogeneously enhancing nodules in peri-portal region and few enlarged lymph nodes noted at porta hepatis was observed.