Figure 2. MRI abdomen w/ and w/o contrast. 2a. T1 isointense signal which may represent the patient's primary neoplasm given history of insulinoma. There is extensive bulky peripancreatic lymphadenopathy which extends along the root of the mesentery and encases the superior mesenteric artery inferior to the pancreas. Bulky and enlarged bilateral renal hilar lymph nodes are present measuring up to 2.9 cm. 2b: T2 sequence of coronal section of MRI abdomen/pelvis showing liver metastasis

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Refractory Metastatic Insulinoma Treated with Everolimus, Complicated by Cryptogenic Organizing Pneumonia

Charles J. Kim, Devon McKenzie, Joe K. Joseph, Yasemin Aytaman, Milay Luis Lam, Lina Soni, Samy I. McFarlane

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