I have 2 IPMN’s both around 1 cm. One is in the body and the other in the tail. On MRI imaging, there is no discerning features nor are they in the main duct to warrant a FNA. There is always a slight risk of causing pancreatitis when doing a procedure in the pancreas. So with nothing or concern in my case the moment, multiple opinions are to do surveillance on a 6 month basis and no biopsy necessary.