Table 3.
Imaging features of pancreaticopleural fistula
Case 1 | Case 2 | Case 3 | Case 4 | Case 5 | Case 6 | Case 7 | Case 8 | |
Demonstration of fistulous tract | CT | ERCP, CT | CT | ERCP, CT | CT, MRCP | ERCP | ERCP, CT | ERCP, MRCP |
Location of pleural effusion | Left | Left | Right | Left | Left | Left | Left | Left |
CT | Enlarged pancreatic head, parenchymal calcifications, small peripancreatic fluid collections near the tail | Enlarged body and tail of the pancreas, peripancreatic fluid collections near the body and tail, dilated PD up to 6 mm | Pancreas not enlarged, PD dilated, small pseudocyst in the body | Pancreas not enlarged, small peripancreatic fluid collections near the tail, PD normal | Pancreas not enlarged, parenchymal calcifications, PD mildly dilated, small pseudocyst near the body and tail | Pancreas not enlarged, parenchymal calcifications in the head, PD dilated up to 3 mm, small pseudocyst near the tail | Pancreas not enlarged, PD normal, small pseudocyts near the pancreatic tail | Pancreas not enlarged, PD dilated up to 4 mm in the tail, pseudocyts near the pancreatic body and tail, ascites |
MRCP | - | - | - | - | Pancreas not enlarged, PD dilated up to 3 mm in the body upstream to a stone, small pseudocysts near the tail | - | - | Pancreas not enlarged, PD normal, pseudocyts near the pancreatic body and tail, ascites, leak in the body |
CT: Computed tomography; MRCP: Magnetic resonance cholangiopancreatography; ERCP: Endoscopic retrograde cholangiopancreatography; PD: Pancreatic duct.