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Fig. 5A. —Axial contrast-enhanced CT scans of 85-year-old man with widely metastatic disease after undergoing Whipple procedure 12 months earlier for invasive intraductal papillary mucinous neoplasm. Image shows large solid peritoneal mass (white arrow) and focal cystic lesion in pancreatic tail (black arrow). CT-guided biopsy of peritoneal mass confirmed metastatic intraductal papillary mucinous neoplasm.