This 12 year old girl had a history of multiple episodes of pancreatitis secondary to pancreatic ductal calculi. On ERCP the pancreatic duct was cannulated followed by contrast injection which initially outlined negative shadows in the head region (A: white arrow). However further contrast injection showed the duct full of calculi (B: white arrows). We didn't attempt to remove. The patient was referred to the surgical team for further management.
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