INS and Hypoglycemia: Similarly, a 41-year-old male with a 13.5 × 8.5 mm insulinoma in the pancreatic neck who presented with multiple syncopal episodes secondary to hypoglycemia achieved complete radiologic and biochemical resolution after a single RFA session using a 19-gauge/5 mm needle at 10 watts of power for two applications (Figure 4, Figure 5 and Figure 6), with no adverse events and normalization of his insulin and glucose levels post-procedure and the resolution of his syncope.