Pancreatico – pleural fistula (PPF) is a rare complication of pancreatitis. we present a case of young male who presented with massive left sided pleural effusion due to ethanol induced pancreatitis. Pleural fluid analysis revealed elevated amylase and lipase which raised high index of suspicion of PPF. MRCP delineated the fistulous communication and helped in stratifying the appropriate management. Patient underwent ERCP and pancreatic stenting which resulted in complete resolution of the fistula.