Objective To evaluate the ultrasonographic imaging features of solid pseudopapillary tumor of the pancreas (SPTP) with pathologic correlation. Methods Ultrasonographic images of 11 histopathologically proven solid pseudopapillary tumors (SPTs) in the pancreas were retrospectively reviewed. Preoperative ultrasonographic images were reviewed for location, existence of solid and cystic components, margin, shape, diameter, dilatation of the pancreatic duct, presence of capsule and calcification. Ultrasonographic appearances were correlated with histopathologic findings. Results All patients were women. Their median age was 34.5 years. Tumor sizes ranged between 1.2 and 12 cm. The tumors were located in body and tail of pancreas in 6 cases, in the head in 2 cases, in the body of pancreas in 2 cases, and in the neck of pancreas in 1 case. Six lesions had mixed solid components and cystic areas and were separated from surrounding pancreatic tissue by a fibrous capsule. Five lesions were purely solid and nonencapsulated. Varied patterns of calcification were seen in four tumors. Doppler imaging showed small to moderate blood flow in four of eleven cases. Conclusion Ultrasonographic imaging features of SPTs correlate well with their histopathologic findings. The diagnosis should be considered whenever a mixture solid and cystic pancreatic mass is found in a young woman. Smaller lesions may be completely solid and present a diagnostic challenge.