A middle aged man with a history of alcoholic pancreatitis presented with abdominal pain.
In the region of the body and tail of the pancreas there is a large, ovoid, hypoechoic mass containing echogenic debris. There is no color flow within the mass.
Pancreatic pseudocysts occur most commonly adjacent to the pancreas, but can occur anywhere within the abdominal cavity. Color Doppler should be performed as they can erode into vessels causing pseudoaneurysms. Lesions adjacent to the pancreatic tail may best be seen through the spleen or left kidney.