PMC5529052_01
Coronal preoperative MRCP/MRI in patient 1 revealing pancreas divisum with a lobulated cyst lesion in the uncinate process as well as a notable dilation of the uncinate duct. Scattered benign hepatic cysts are noted, with a normal sized bile duct. MRCP, magnetic resonance cholangiopancreatoscopy.
fig-1.jpg
PMC5529052_01_fig-1.jpg
f1
An abdominal MRI with and without contrast revealed pancreas divisum with a dominant 2.4 cm multicystic uncinate process lesion communicating with the main pancreatic duct (duct of Wirsung) with an associated uncinate duct dilation to between 4 and 5 mm (Fig. 1).
PMC5529052_02
Coronal preoperative MRI in patient 2 revealing pancreas divisum with a cyst lesion measuring 7.3 cm involving the uncinate process and duct of Wirsung. Of note, mural nodularity is appreciated.
fig-2.jpg
PMC5529052_02_fig-2.jpg
f2
Subsequent MRI in October showed the cystic component of the mass had now increased to 7.3 cm with mural nodularity (Fig. 2).