Complete pancreatic lipomatosis: cystic fibrosis
Known cystic fibrosis with bilateral lung transplants. Now diabetic and chronic renal failure with abnormal liver function.
Non-contrast CT scan
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Complete fatty replacement of the pancreas (arrows), i.e. no residual pancreatic parenchyma with marked fatty infiltration of the liver (another common manifestation of CF) and hepatic contour changes indicative of cirrhosis and portal hypertension (also seen in CF).