Will this work?
 

I don't have CDRwin so I used Clone CD to make a image file of Legend of Mana, then I needed it as a bin file, so I renamed the .ccd file to .bin, I assumed that the file name was the only difference, since both files were the same size and the bin file seemed to work ( this also seemed to with with .iso files, or am I wrong?). Then I patched it using pal4u and renamed it to .ccd again and burned it, it works, but it's still NTSC and not PAL as I wanted it to be. Could this be because I renamed the file and patched it? Ir did I do somethign else wrong? Please help!

So I tried what you said - except that I renamed the IMG file to BIN (I think you did too). I patched it for the JAP Utility Disk with ASA Patcher and renamed it back to IMG after patching. Burned it back with CloneCD and the game worked.

So you've solved a problem - perhaps. I'll expand on this in the PS2 Forum.

Yeah, I meant the .IMG file just like you said.