Interesting ImagesRemember the Pitfall Intrapancreatic Accessory Spleen Mimicking Neuroendocrine NeoplasmRosar, Florian MD; Ries, Martin MD; Khreish, Fadi MD; Ezziddin, Samer MSc, MDAuthor Information From the Department of Nuclear Medicine, Saarland University, Homburg, Germany. Received for publication October 2, 2019; revision accepted November 26, 2019. Conflicts of interest and sources of funding: none declared. Correspondence to: Florian Rosar, MD, Department of Nuclear Medicine, Saarland University Hospital, Kirrberger Str., Geb. 50, D-66421 Homburg, Germany. E-mail: firstname.lastname@example.org. Online date: January 30, 2019 Clinical Nuclear Medicine: March 2020 - Volume 45 - Issue 3 - p 250-251 doi: 10.1097/RLU.0000000000002945 Buy Metrics Abstract We report of a 71-year-old woman with a 2-cm somatostatin receptor–positive intrapancreatic lesion almost misdiagnosed as neuroendocrine neoplasm. By additional red blood cell scintigraphy with heat-damaged erythrocytes, the lesion was identified as an intrapancreatic accessory spleen, and unnecessary operation (which was already planned) could be avoided. This case report reminds colleagues to consider accessory spleen as differential diagnosis for somatostatin receptor–positive lesions even when located inside the pancreas. In doubtful cases, a scintigraphy with heat-damaged erythrocytes is a very useful and complementary imaging method and should be performed before any planning of surgery. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.