Magnetic resonance imaging of pancreatitis: An update

Figure 14 Mild pancreatitis complicated by pancreatic divisum and santorinicele. A: Axial single-shot turbo spin-echo T2-weighted (HASTE) image with fat-suppression. Axial pre- (B) and post- (C) Gadolinium radial 3D-GRE T1-weighted image with fat-suppression during the hepatic-venous phase; D: Coronal oblique thick-slab magnetic resonance cholangiopancreatogram image. There is mild lace-like increased T2 signal involving the pancreatic parenchyma, associated with a minimal amount of peripancreatic fluid (A) and pachy pancreatic enhancement on post-Gadolinium images (B, C) in keeping with mild acute pancreatitis. There is also abnormal course and insertion of the main pancreatic duct into the minor papilla (D) terminating in a small cystic structure (arrow) in keeping with pancreatic divisum and a small Santorinicele (D).