Malignant atrial myxoma presenting as intracranial mass.

COMMUNICATIONS TO THE EDITOR 531 sions that had a high level of amylase. We disagree with this suggestion and offer the following comments. Although pancreaticopleural fistulae (internal pancreatic fistulae) resulting from disruption of the pancreatic duct or pseudocysts are known complications of pancreatitis, their incidence is unknown. The presence of such flstulae is suggested by amylase-rich massive hemorrhagic pleural effusions sometimes associated with pancreatic ascites and exhibiting a strong tendency to recur. The essential objectives of initial management are to drain the pleural fluid and to reduce