Question: An 87-year-old woman with history of dementia, atrial fibrillation, hypertension, and gastroesophageal reflux disease presented with abdominal pain. CT demonstrated abnormal location of a portion of the pancreas (Figure A–D, arrowheads) and dilation of the corresponding segment of the main pancreatic duct (arrows) on transverse and coronal images. A 3-dimensional, volume-rendered image from subsequent MR cholangiopancreatography examination demonstrated abnormal course of pancreatic duct, along with localized pancreatic ductal narrowing (small arrows) and segmental dilation (large arrows) (Figure E).