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Figure 6b. Santorinicele. (a) Presecretin MR image shows possible mild enlargement of the distal tip of the dorsal duct (arrowhead) and the presence of pancreas divisum. (b) Postsecretin MR image shows increased signal intensity in the duodenum from the exocrine response to secretin. The fusiform enlargement (santorinicele) of the tip of the dorsal duct also is more prominent (arrows).