Acute necrotizing pancreatitis
Diagnosis almost certain
Updates to Case Attributes
Age
changed from 60 to 60 years .
Updates to Study Attributes
Findings
was changed:
- The pancreas is diffusely and massively enlarged with a multifocal cystic collection demonstrating low T1 and high T2 signal intensity with the largest pocket of 8 X 6 cm as well as multiple gas loculi with signal voids denoting infected pancreatic necrosis.
-
Peri-pancreaticPeripancreatic fluid collection as well asperi-pancreaticperipancreatic fat stranding and small enlargedperi-pancreaticperipancreatic lymph nodes. - The pancreatic lesion is associated with compression of the distal CBD with proximal CBD as well as central intra-hepatic ducts dilatation.
- Mild ascites as well as minimal bilateral pleural effusions.
- The
gall bladdergallbladder shows a small signal void ofgall stonesgallstones. - No evidence of CBD stones.
- The liver is average sized with a smooth regular outline, no definite focal hepatic lesion.
- A left renal lower pole 5 X 5 cm simple cortical cyst.