Fig. 8.

Combined intraductal papillary mucinous neoplasm (IPMN) in a 64-year-old male. A Axial T2-weighted magnetic resonance image shows extensive cystic change of the pancreatic body and tail, consisting of both a dilated main pancreatic duct (short arrow) and numerous dilated side branches (arrowhead). B Coronal magnetic resonance cholangiopancreatography again demonstrates the combined IPMN in body and tail. The involvement of the pancreas is segmental with an abrupt change to a normal main duct in the pancreatic head (arrow). Upon surgical resection, this proved to be a combined IPMN with low-grade dysplasia.