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Fig. 3A —60-year-old man with mass in uncinate process of pancreas that proved to be pancreatic adenocarcinoma. Patient had elevated creatinine and could not receive iodinated contrast material on CT. Coronal T2-weighted RARE MR cholangiopancreatography image shows dilation of common bile duct (short arrow) and pancreatic duct (long arrow) with abrupt termination at confluence of ducts (arrowhead). This double duct sign is highly suspicious for malignancy.