Indian Journal of Radiology Indian Journal of Radiology  

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Year : 2017  |  Volume : 27  |  Issue : 2  |  Page : 167-176
Cystic lesions of the pancreatico-biliary tree: A schematic MRI approach

Joint Department of Medical Imaging, University Health Network, Mount Sinai Hospital and Women's College Hospital, University of Toronto, Toronto, Ontario, Canada

Correspondence Address:
Jaydeep Halankar
Joint Department of Medical Imaging, Princess Margaret Hospital, University Health Network, 610 University Avenue, Toronto, Ontario
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijri.IJRI_226_16

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Although a common occurrence, cystic lesions of the pancreatico-biliary tree (PBT) may pose a diagnostic dilemma because they encompass a large number of neoplastic and benign processes with varied clinical symptoms. Knowledge of lesion classification and characterization are essential in making an accurate prospective diagnosis. This is necessary for identifying clinically significant cystic masses, which at times may require invasive intervention from indolent, nonneoplastic lesions, for which surveillance may suffice. Today, there is an arsenal of modalities for assessing the PBT, however, magnetic resonance imaging (MRI) remains at the forefront for characterizing cystic morphology and fluid content, internal septations, solid component, enhancement patterns, as well as assessing the surrounding normal structures. This pictorial review aims to review the spectrum of MRI features, which will aid in the differential diagnoses of cystic lesions of the PBT and mimickers, enabling the radiologist to reach a more confident diagnosis.

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