Pancreatic cystic lesion without worrisome features. 80 years old or above. > 2.5 cm. Newly discovered.

 

What is the imaging feature of this cyst?

The cyst is typical for serous cystadenoma.           

Indeterminate, but with LOW risk feature.

Indeterminate, but with HIGH risk feature.

 

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Notes:

Low risk feature: No peripheral calcification. No mural nodule. No wall thickening. Normal caliber MPD. If surgery is contemplated for low risk cysts, endoscopic ultrasound/FNA is strongly advised before the surgery.
High risk feature: Peripheral calcification. Mural nodules. Wall thickening. MPD>=7 mm in diameter.