I can only speak from my experience. I was diagnosed in July 2021 with an IPMN (2cm) on the tail of the pancreas on the main duct. An EUS with fine needle aspiration came back with a benign finding. Surgeon suggested to surveil in a year. In June 2022 IPMN grew to only 2.1 cm, but main duct dilation seemed worse. So, in July 2022, I had a distal pancreatectomy. Pathology report revealed cancer in the resected portion, so I was stage 1b. Doctors suspected that the cyst had some responsibility for this. I had Folferinox for 6 months to chase down any cancer cells (no active cancer), but it still ended up spreading to my liver. Now I'm on Gemzar/Abraxane. Consider getting a second opinion, my advice.

@huilim, only a health care professional can interpret an MRI report. I encourage you to seek a second opinion. If you would like to request a second opinion with Mayo Clinic specialist team, please contact Mayo Clinic by phone or using the form. See here: http://mayocl.in/1mtmR63