For these reasons, we advocate abdominal MRI with MRCP as the preferred modality for pancreatic evaluation in the pediatric population. The purpose of this article is to briefly discuss the normal anatomy and embryologic development of the pancreas, review standard sequences for routine abdominal MRI and MRCP in pediatric patients, discuss the normal appearance of the pancreas and biliary tree on MRI sequences, and use examples to illustrate the MRI appearance of common and uncommon manifestations of pancreatic disease in pediatric patients.
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