(A) This papilla has a number of abnormal findings including numerous deposits of yellow plaque (black arrows), <25% pitting (black circle), a moderate loss of contour, and several small foci of Randall's plaque (black arrowheads) (Plugging = 2, Pitting = 1, Loss of Contour = 1, Randall's plaque = a [PPLA 4a]). (B) This papilla has several foci of yellow plaque (black arrows) and dilated ducts (asterisk), moderate pitting (black circle), and complete loss of contour. There is minimal Randall's plaque (arrowhead) (Plugging = 2, Pitting = 1, Loss of Contour = 2, Randall's plaque = a [PPLA 5a]).