Gallium 68 exendin scan done in April 2023 showed a soft tissue lesion measuring 34x45 mm in the gastrohepatic ligament (standardized uptake value {SUV} 37.8), abutting the neck of pancreas with increased GLP-1 expression suggestive of an insulinoma and a right renal cyst in the anterior cortex of size 62x48 mm. The gene discussed is GLP1R; the disease is pancreatic insulinoma.