Acinar cell carcinoma(ACC) of the pancreas is rare and usually presents as a metastasizing tumor with poorprognosis in elderly patients with non-specific symptoms. We describe a case of pancreatic acinar cell carcinomawith peritoneal spread and multiple liver metastases. Abdominal sonography showed a well-marginated echogenic masswith a large central anechoic necrotic portion; CT scanning showed a large mildly enhanced lobulated mass with alow attenuation center and thin rim-like capsular enhancement. Irregular peritumoral peritoneal extension withmultiple small low attenuation necrotic areas was also noted. Multiple small well-defined metastatic nodulesshowing low attenuation were scattered in the liver.