This was a young adult female patient. Sonography shows a cystic mass (3.5 x 3.9 cms.

) having shaggy,
thick walls in relation to the head of the pancreas. Some particulate debris is present in the dependent
part of the cystic mass, but septae are absent. Color Doppler images of the cyst reveal absence of color
flow within the cyst ruling out a vascular mass. These ultrasound imaging findings favor a diagnosis of
pseudocyst of the pancreas. Pseudocysts are the commonest cause of cystic lesions of the pancreas and
are formed as a result of extravasation of pancreatic enzymes into the surrounding spaces. These
pancreatic enzymes produce strong inflammatory exudative response from the adjacent peritoneal
membranes with fluid sealed within a collagenous wall (of the cyst).