CCS and cyst: In the subsequent multivariate analysis, the PSC (p = 0.027, OR = 20.932, 95% CI: 1.416–309.493), MPD dilation ≥10 mm (p = 0.004, OR = 76.417, 95% CI, 3.839–1520.945), thickened enhancing cyst walls (p = 0.048, OR = 10.887, 95% CI, 1.026–115.563), Ca19‐9 ≥ 37 U/mL (p = 0.025, OR = 16.216, 95% CI, 1.408–186.713), and CCS (p = 0.010, OR = 20.188, 95% CI, 2.053–198.497) were independent predictors for malignant IPMNs.