The Utilization of Imaging Features in the Management of Intraductal Papillary Mucinous Neoplasms
Figure 6
Coronal MRCP acquisitions in an asymptomatic 70-year-old female patient with an incidental radiological finding of multiple pancreatic cystic lesions; MRCP exams were performed in 2009 (a), in 2012 (b), and in 2013 (c). Multiple small cystic lesions in the pancreatic parenchyma are clearly depicted in the three MRCP acquisitions, some of them showing a typical connection to the main pancreatic duct. This typical radiological pattern suggests the diagnosis of multifocal BD-IPMNs. No main pancreatic duct dilatation is observed. Cystic lesions do not show intraluminal solid components or mural nodules. Over time the MRI monitoring initially showed a mild enlargement of the lesions (from a to b) and then a size-reduction (from b to c). As reported in literature, IPMNs in a multifocal setting could also be managed in a safe and reliable mode.
