Acute pancreatitis: Balthazar C
History of severe epigastric pain that radiates through to the back and elevation of amylase and lipase.
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CT show diffuse parenchymal enlargement secundary to inflammatory changes, also infiltration of peripancreatic fat and small to moderate amount of peripancreatic fluid.
CT study also show bilateral pleural effusion.
According to Balthazar Score used in CT Severity Index (CTSI), the evidence of inflammatory changes in pancreas and peripancreatic fat would suggest a grade C pancreatitis. This would represent a mild pancreatitis (interstitial pancreatitis), which has no pancreatic or extrapancreatic necrosis.