Solid and papillary epithelial neoplasm of the pancreas is a very rare
low-grade malignant neoplasm with only 126 cases reported in the lite
rature and seen mostly in young female patients. Surgical excision mea
ns cure in cases before malignant degeneration developed. Its characte
ristic findings are typical location in the tail of the pancreas, peri
pheral capsule formation, hypodensity on CT images, and hyperintense i
nternal signal characteristics on T1-weighted MR images secondary to h
emorrhage and accumulation of methemoglobine molecule. These findings
are enough for the preoperative diagnosis that may lead to early surge
ry and cure. We present the CT and MR findings of this very rare neopl
asm in a case report.