My journey has been similar. I went for an ultrasound in 2021 to explore why I was losing weight without trying. A nodule was found on my liver, so an MRI was recommended. The MRI showed the nodule to be insignificant, but a cyst showed up on the pancreas, thought to be an IPMN in the main duct. I had the EUS and it did not show any malignancy. Doctors decided to review in a year. In 2022, the MRI revealed that the cyst grew just slightly, but the duct around the cyst had dilated noticeably. So, I had a distal pancreatectomy in July 2022, and cancer was found in the vicinity of the IPMN, but had not spread beyond the pancreas. I am a Stage 1b pancreatic cancer patient now, on my third round of chemo. I think those IPMNs can be tricky.