CT Abdomen y Pelvis
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Pancreatic swelling and peripancreatic stranding, extending to the left pararenal space (thickened Gerota's fascia). Pancreas is enhancing homogeneously, no signs of necrosis on CT. No pancreatic duct dilatation.
GB is suboptimally seen, but there is suspicion of stone in its neck. GB ultrasound scan is suggested. No evidence of biliary dilatation.
No evidence of walled-off collection.
Portal, splenic and SMV are opacified normally. No evidence of splenic artery pseudoaneurysm.
Minimal left sided pleural effusion and associated basal atelectesis.
Interpretation: Features of acute pancreatitis.
This case shows an acute pancreatitis with peripancreatic edema, inflammation without pancreatic necrosis and abnormal peripancreatic fat, probably secondary to a biliary pathology.
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