PMC3075162_01
A CT image with contrast demonstrates a marked pancreatic ductal dilatation (black arrow) with large intraductal calcifications (white arrow).
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F1
The pancreatic duct was filled with large calcifications with a possible obstruction at the level of the neck resulting in marked upstream ductal dilatation of 1.5 cm (fig. 1).
An endoscopic retrograde view showing frank pus expelling spontaneously through the major papilla of Vater.
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F2
The major papilla of Vater was visualized spontaneously expelling frank pus (fig. 2).
A follow-up CT image of the pancreas showing distal migration of pancreatic stones (white arrow) with diminished ductal dilatation (black arrow).
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F3
There was no evidence of pancreatic necrosis or fluid collection (fig. 3).