Presentation
Severe abdominal pain, distension and jaundice.
Patient Data
Age: 60 years
Gender: Male
From the case:
Acute necrotizing pancreatitis
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Axial T2 fat sat
- 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.
From the case:
Acute necrotizing pancreatitis
Axial non-contrast
CT confirmed acute necrotizing pancreatitis with multifocal cystic collections and gas densities with peripancreatic fluid collection and inflammatory fat stranding.
Case Discussion
- The above described findings are those of acute necrotizing pancreatitis with peri-pancreatic fat stranding and fluid collection as well as peri-pancreatic lymphadenopathy with mild dilatation of CBD and proximal intra-hepatic biliary radicles dilatations.
- Mild ascites and small bilateral pleural effusions.
- Gall bladder stones. No evidence of choledocholithiasis.
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