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History revealed recent abdominal trauma from a bicycle handle. A CT scan of the chest showed right patchy consolidation, hydropneumothorax and a multiloculated hypodense collection tracking from the right paraesophageal region to the tail of the pancreas. Both serum and pleural fluid amylase and lipase were elevated. Magnetic resonance cholangiopancreatography confirmed bilateral (right greater than left) pancreatopleural fistulas. The patient was treated with nil per oral status, total parenteral nutrition and Octreotide. 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