RADIOLOGY: ABDOMEN: Case# 66: TRAUMATIC PANCREATIC PSEUDOCYST. 61 year old white male status post MVA presents with progressive jaundice. There is a 4 x 5 cm well-circumscribed fluid collection in the pancreatic head which is new. The body and tail of the pancreas are normal with mild fatty replacement. There is no pancreatic duct dilatation. Two 5 mm cortical cysts are seen in the mid portion of the right kidney. A 3 x 2 cm cyst with septations and calcification is seen in the upper pole of the left kidney. The pancreas is at risk for injury in the setting of blunt abdominal trauma due to its fixed position in the retroperitoneum. Pancreatic duct disruption may occur resulting in leakage of pancreatic enzymes. Acute pancreatitis or other inflammatory processes (such as pseudocyst) may then result.