Chronic pancreatitis

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain

Presentation

Work up for abdominal pain.

Patient Data

Age: 40 years
Gender: Male
ct
This study is a stack
Axial With
oral contrast
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Axial C+
delayed
This study is a stack
Coronal With
oral contrast
This study is a stack
Sagittal With
oral contrast
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Info

Coarse pancreatic calcifications are seen accompanied by duct dilatation, inferring chronic pancreatitis. 

The right kidney is relatively smaller than the left kidney and shows parenchymal atrophic changes. A 38 mm stone is noted at right renal pelvis causing moderate hydronephrosis. A 30 mm stone is observed at left renal pelvis accompanied by mild hydronephrosis. Several small stones are also observed at lower calyces of the both kidneys. 

The prostate gland is enlarged.

Case Discussion

CT features of chronic pancreatitis include dilatation of the main pancreatic ductpancreatic calcification, changes in pancreatic size (i.e. atrophy), shape, and contour and pancreatic pseudocysts.

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