MRI
Axial T2 fat sat
Coronal T2
Axial T1
Coronal MRCP
- 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.
- Peripancreatic fluid collection as well as peripancreatic fat stranding and small enlarged peripancreatic 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 gallbladder shows a small signal void of gallstones.
- 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.