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Case 4.11 

Case 4.11
Case 4.11

Christine U. Lee

, and James F. Glockner

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date: 29 September 2020

58-year-old woman with suspected mesenteric ischemia

VR image from 3D FRFSE MRCP (Figure 4.11.1) reveals multiple small cystic lesions throughout the pancreas, many connecting to the pancreatic duct.

Multiple side-branch IPMNs

Diagnostic imaging of IPMN provides an interesting case study of the effect of imaging technology on disease prevalence. In the 1990s, IPMN was a rare and exotic diagnosis, leading to case reports and excited presentations at imaging conferences. As magnetic resonance technology improved and the use of abdominal MRI and MRCP increased, IPMN became a more pedestrian diagnosis. (In our practice, if we’re not reporting a potential IPMN at least 2 or 3 times a day, it probably means that we’re forgetting to look at the pancreas again.)...

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