Interesting ImagesHeterotopic Pancreas Mimicking Metastases From Renal Carcinoma A Rare DifferentialDatta, Deepanksha MD, DNB∗; Kumar, Rajesh MD∗; Varshney, Peeyush MCh†; Khera, Sudeep MD‡; Gupta, Tanisha MBBS∗ Author Information From the Departments of ∗Nuclear Medicine †Surgical Gastroenterology ‡Pathology and Lab Medicine, All India Institute of Medical Sciences, Jodhpur, India. Received for publication May 20, 2022; revision accepted August 11, 2022. Conflicts of interest and sources of funding: none declared. Correspondence to: Rajesh Kumar, MD, Department of Nuclear Medicine, All India Institute of Medical Sciences, Jodhpur, Basni Phase -II, Jodhpur-342005, Rajasthan, India. E-mail: [email protected]. Clinical Nuclear Medicine 48(2):p e74-e75, February 2023. | DOI: 10.1097/RLU.0000000000004398 Buy Metrics Abstract Heterotopic pancreas, also known as ectopic or aberrant pancreas, is described as the deposits of normal pancreatic tissue “dropped” into the developing gastrointestinal system. Here we present an operated case of renal clear cell carcinoma, which on 6-month follow-up presented with eccentric mass in the gastric body suspicious for malignancy. Endoscopic biopsy was inconclusive and showed isometabolism on 18F-FDG PET/CT. It was subsequently resected laparoscopically, and final histopathology revealed heterotopic pancreas. Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.