Typically patients with IPMT present with anorexia, and or recurrent abdominal pain simulating recurrent pancreatitis. They are equally distributed in both the sex and usually present in 5 th 6 th decade of life. CT typically shows presence of pancreatic atrophy with disproportionate duct dilatation. There may be associated communicating cysts due to branch dust ectasia. IPMTs located in the head are more likely to be malignant.
Calcification is seen only in a minority of patients.
Additionally MRCP can demonstrate the communication with the main duct. Oozing of mucin at the papilla is a characteristic finding.