Pancreatic Cyst Management Calculator
2017 ACR Incidental Findings Committee · Pancreas
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Patient Age (years)
Stop surveillance around age 80 if stable.
Cyst Size (cm, maximum dimension)
Main Pancreatic Duct Size (mm)
Proven Serous Cystadenoma (SCA)?
Select…
No / Unknown
Yes
Communication with Main Pancreatic Duct
Select…
Yes (branch-duct IPMN)
Indeterminate
No
High‑Risk Stigmata
Obstructive jaundice with cyst in head of pancreas
Enhancing solid component within cyst
Worrisome Features
Thickened / enhancing cyst wall
Nonenhancing mural nodule
MPD ≥7 mm is also a worrisome feature (auto-applied).
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