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Fig. 4D. —74-year-old woman after distal pancreatectomy for invasive intraductal papillary mucinous neoplasm of pancreas. CT scan obtained slightly inferior to C shows definite growth of cystic mass (arrow) adjacent to main pancreatic duct in pancreatic head. Completion pancreatectomy indicated recurrent intraductal papillary mucinous neoplasm.