A 21-yr-old female, presented with history of painful lump in right upper quadrant of abdomen with diarrhea and facial flushing of 15 days duration. There was no associated vomiting, jaundice, melena, headache or any respiratory complaints. On examination, she had hepatomegaly extending 7cm below right costal margin. All routine hematological and biochemical values were normal except for elevated S. Lipase levels.
On further evaluation, USG showed multiple hypoechoic lesions in liver and tail of pancreas which was corroborated with CECT findings of multiple discrete hypo-enhancing lesions in both lobes of liver and tail of pancreas abutting left lobe of liver with loss of fat plane. *This image based case is from Docplexus editorial team for educative purpose only. Source: Oncology & Cancer Case Reports What is the most likely diagnosis as per your opinion? What could be the possible…