Case 128:   Metastasis - Neuroendocrine Tumor

Diagnostic Category:

Clinical Presentation:

63 year old woman on surveillance after resection of a malignancy of the ileum.

CT: With central scar

Imaging Findings:

Multiple neuroendocrine metastases are hypervascular in the arterial phase, isodense in the portal venous and washout on the equilibrium phase. The larger lesion washes out peripherally and has a central scar that enhances in the equilibrium phase. Biopsy confirmed low-grade neuroendocrine tumor with features suggesting GI tract origin.