Intraductal papillary mucinous neoplasm of the pancreas on ERCP

An ERCP showing the pancreatic duct in a patient with intraductal papillary mucinous neoplasm. There is a filling defect in a dilated pancreatic duct (arrow) and there are strand-like filling defects of mucus in the pancreatic duct in the body of the pancreas (arrowheads). The endoscopist observed large amounts of mucus exuding from the pancreatic duct orifice. Histopathology of an associated pancreatic mass revealed both papillary and mucinous features.