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A diagnosis of cystic lymphangioma with congenital intrahepatic duct dilatation and choledochal cyst was made after excision and pathologic examination. Preoperative diagnosis of cystic lymphangioma of the pancreas is difficult, and carefulsonographic evaluation is required. \u00a9 2010 Wiley Periodicals, Inc. J Clin Ultrasound, 2010; Published online in Wiley Online Library (wileyonlinelibrary.com). 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