I think we will have to wait and see what the ultrasound will shows. The cyst looks like a hole in Ralph's pancreas!! I have to remember that at nearly 14 in cat years, Ralph is almost 72 in human years. In the years I worked with older people, you learn how much more difficult it is for them to make a comeback after surgery or a major illiness. Barry and I really try to do what is best for all the cats, it is just so much harder as they grow older. Ralph is getting much better to pill, Jenluckenbach, but he does not like it any better!!! He was picky at breakfast, but did lick off the baby food off of Barry's fingers!! Guess where he is right now???