Question: A 60-year-old man presented to an internal medicine physician to establish care and the initial workup revealed mildly elevated liver function tests (LFTs). CT of the abdomen was performed to evaluate the elevated LFTs and found a 4.4-cm cystic lesion in the uncinate process of the pancreas (Figure A). Further workup, which included endoscopic ultrasound-guided fine-needle aspiration, diagnosed the lesion as a side branch intraductal papillary mucinous neoplasm. He was referred to our institution for further management.