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A 72-year-old female. Acute pancreatitis. Imaging showed a prominent pancreatic duct on the left pancreas. Endosonography diagnosed a small infiltrative process on the left-sided pancreas. The upstream pancreatic duct was up to 4 mm wide. As this infiltrative process was not visible on imaging, EUS-FNA was performed, which revealed a ductal adenocarcinoma. Left pancreatic resection was performed. Histologically, the patient had a T1N0M0 stage
