email article A 63-year-old woman presents to a hospital urology clinic in Dammam, Saudi Arabia, for her surveillance check-up, having been diagnosed 8 years previously with clear-cell renal cell carcinoma (CCRCC) of the right kidney. At the time of her diagnosis in 2012, clinicians performed a metastatic workup including computed tomography of the chest, abdomen, and pelvis (CT-CAP) which did not identify any evidence of distant metastasis. After consultation with the hospital's multidisciplinary tumor board, clinicians successfully performed a right radical nephrectomy and there were no complications. Now, eight years later at the patient's regular follow-up surveillance appointment, CT-CAP reveals a 1 cm, hypervascular mass in the body of the pancreas, which clinicians suspect is a metastasis.