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Intraductal ultrasound showing papillary projections in the pancreatic duct

Intraductal ultrasound showing papillary projections in the pancreatic duct
Two papillary projections (arrows) identified by intraductal ultrasound of the pancreas raise the suspicion of malignant degeneration.
Courtesy of Michael J Levy, MD, Enrique Vazquez-Sequeiros, MD, and Maurits J Wiersema, MD.
Graphic 66688 Version 4.0