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Fig. 5A —Patient with invasive carcinoma arising in intraductal papillary mucinous neoplasm (IPMN). Axial (A) and coronal (B) reformatted venous phase images show 6-cm cystic mass in head of pancreas (arrows). Mild dilatation (< 10 mm) of main pancreatic duct is not shown. Common bile duct (arrowhead, B) is dilated (16 mm). Lesion was classified as combined type, cystic and solid lesion. Pathologically, invasive carcinoma measuring 5.5 cm in greatest dimension was seen arising in IPMN.