Diagnostic Accuracy of 256-Detector Row Computed Tomography in Detection and Characterization of Incidental Pancreatic Cystic Lesions

Figure 3

(a) MDCT study performed in a 65-year-old man referring to evaluation of hepatic disease. MPR curved reconstruction shows the main pancreatic duct (MPD) along its whole length (arrowheads) and several small cystic lesions (white arrows), without inner septa and no detectable connection with ductal system. These findings were considered consistent with multifocal branch type IPMN. (b) Radial images from a subsequent MRCP study confirm the regular caliper of MPD (arrowheads) and the presence of a higher number of multiple small cysts (white arrows) that spread within the whole pancreatic gland; even if a clear communication with MPD was not present, MRCP confirms the diagnosis of multifocal branch type IPMN.

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