PMC153522_01
Title: ERCP Cannulation of the major papilla and injection of contrast medium results in opacification of a short ventral pancreatic duct and its secondary branches. The dorsal pancreatic duct is not depicted and there is no apparent continuation of the ventral duct along the body and tail of the pancreas.
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F1
Cannulation of the major papilla revealed a short pancreatic duct branching off regularly, without continuation along the body and tail of the pancreas (fig. 1), suggesting a pancreas divisum.
Title: Spoiled gradient echo fat suppressed T1-weighted sequence Axial section at the level of the pancreas, demonstrating significant atrophy of the pancreatic body and tail.
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F2
Magnetic Resonance Imaging (MRI) of upper abdomen and Magnetic Resonance Cholangiopancreatography (MRCP). MRI demonstrated significant atrophy of the body and tail of the pancreas (fig. 2).
Title: T2-weighted spin echo, axial image. A sharply marginated round lesion 2,5 cm in diameter, with high signal intensity, consistent with a pseudocyst in the pancreatic head.
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F3
A small, clearly demarcated cystic lesion was demonstrated in the pancreatic head, in close proximity to the duodenal bulb (fig. 3).
Title: Projectional single shot turbo spin echo MRCP A dilated and tortuous pancreatic duct with associated beading of side branches in the body and tail of the pancreas is depicted, along with a short stricture of the duct in the pancreatic neck. The normal appearing common bile duct and the main pancreatic duct were shown ending at different parts of the duodenum after crossing over each other at the head of the pancreas. A cyst is demonstrated in the way of the dorsal pancreatic duct.
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F4
MRCP revealed a dilated and irregularly beaded dorsal pancreatic duct with side branch ectasia in the body and tail of the pancreas (fig. 4).