Concomitant pancreatic adenocarcinoma in a patient with branch-duct intraductal papillary mucinous neoplasm

Figure 1 Abdominal imaging and endoscopic ultrasound of a patient 1 undergoing routine surveillance for a pancreatic cyst. (A) and (B) demonstrate the cystic lesion in the head/uncinate process of the pancreas as seen on computed tomography scan (arrow); and seen on endoscopic ultrasound (C). Image (D) shows a mass¹ within the head of the pancreas which was separate to the cyst.

Figure 2 Abdominal imaging and endoscopic ultrasound of the pancreatic remnant in patient 2 who was status post pancreaticoduodenctomy for intraductal papillary mucinous neoplasm. A: Magnetic resonance imaging of the remnant pancreas performed 6 mo before the endoscopic ultrasound (EUS). The arrow demonstrates the cyst in the tail of the pancreas; B: EUS image of the cyst in the tail of the pancreas (arrow) corresponding to the MRI image seen in (A); C: Demonstrates an ill-defined hypoechoic area¹ in the body of the pancreas.