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Lint: pancreatic-metastases

List Caps
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"Merkel cell carcinoma (rare) 9"

Line 23:11 · In general, we don't start a list item with a capital letter. Exceptions are proper nouns.
Litotes
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"Metastases to the pancreas do not have a predilection for any one part of the gland, and can have a variety of appearances 1,4:"

Line 31:34 · Consider using 'lack(s)' instead of 'not have'