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Figure 10b. Bulging patulous papilla from IPMT in a 52-year-old man. (ac) Contrast-enhanced axial (a) and coronal reformatted (b, c) CT images show cystic dilated branch ducts (arrowhead in c), a dilated MPD (arrow in b), and bulging of the papilla with faint enhancement (arrow in a). (d) Endoscopic image reveals jellylike mucin leaking from the papilla.