Pancreatic paracoccidioidomycosis simulating malignant neoplasia: Case report

Figure 1 Contrast enhanced abdominal computed tomography. Head, body, and tail of pancreas with enlarged dimensions and a poorly-defined margin, with two hypodense areas without significant enhancement after intravenous contrast (white arrow). The same image shows a hydropic gallbladder (arrow head) and mild splenomegaly.

Figure 2 Pathological findings (hematoxylin/eosin × 200 magnification). A: Epithelioid granuloma in a lymph node near the ductus choledochus, with absence of necrosis, fungi, or bacteria; B: Fine-needle aspiration smear showing rounded yeast forms with a birefringent wall and multiple sporulation compatible with Paracoccidioides brasiliensis (black arrows).