CT
Peripancreatic free fluid and fat stranding particularly around the pancreatic tail, tracking inferiorly to the pelvis and superiorly into the left subphrenic space. Pancreas is swollen with regions of hypoattenuation in the tail and uncinate process consistent with necrosis. Distal superior mesenteric vein thrombosis with thrombosis also of the main portal and left portal veins.
Splenic vein is wholly thrombosed. Mild splenic heterogeneity may be related to this thrombosis.
Hepatic steatosis. Bilateral simple-appearing renal cysts.