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Figure 7b. Disconnected pancreatic duct syndrome. (a) Presecretin MR image shows a lack of continuity of the main pancreatic duct (arrow) in the region of the pancreatic neck and proximal body. (b) Postsecretin MR image demonstrates the absence of duct connection (arrowhead) and lack of stenosis. Note the curved drain catheter at the site of a peripancreatic fluid collection (arrow). (c) ERCP image helps confirm disruption of the main duct in the pancreatic head (arrowhead). The patient subsequently underwent pancreatojejunostomy and percutaneous drain placement.