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The pancreas is oedematous and enlarged with peri-pancreatic fat stranding. No obvious foci of necrosis. Acute peri-pancreatic fluid collection in lesser sac.
The pancreatic duct is prominent measuring up to 4 mm. CBD prominent measuring up to 7 mm. Main pancreatic duct appears to drain via the minor papilla suggesting pancreatic divisum. A small rounded calcific focus at minor papilla in keeping with a stone.
The gall bladder is normal. No cholelithiasis or features of cholecystitis.
Ascites and regional inflammatory changes also present.
Incidental finding of median arcuate ligament syndrome.