Spectrum of mucin-producing neoplastic conditions of the abdomen and pelvis: Cross-sectional imaging evaluation

Figure 9 Intraductal papillary mucinous neoplasm of the pancreas in an 80-year-old woman. A: Coronal T2-weighted RARE MR image shows cord-like hypointense mucin in the dilated main pancreatic duct (arrow). Note multiple stones in the dilated common bile duct; B: Axial contrast-enhanced fat-saturated T1-weighted MR image demonstrates a fistula (asterisk) between the dilated main pancreatic duct and the stomach. Note mural nodules (arrowheads) within the dilated main pancreatic duct, which strongly suggest a malignant Intraductal papillary mucinous neoplasm; C: Endoscopy image reveals mucin leaking from the papilla. RARE: True rapid acquisition with relaxation enhancement; MR: Magnetic resonance.