Pancreatic Cysts: <0.5 cm - ACR 2017

“One exception is the so-called “white dot” (<5 mm) lesions seen on T2-weighted MRI. Based on limited clinical and published experience, we believe that one follow-up CT or MRI at 2 years demonstrating stability is sufficient to stop surveillance. Some radiologists do not report these lesions in patients over 75-80 years of age.”

Reference: Megibow AJ, Baker ME, Morgan DE, Kamel IR, Sahani DV, Newman E, Brugge WR, Berland LL, Pandharipande PV. Management of Incidental Pancreatic Cysts: A White Paper of the ACR Incidental Findings Committee. J Am Coll Radiol 2017;14:911-923.