New bilateral pleural effusions with compressive lower lobe atelectasis. Moderate volume of ascites. Non-enhancement of uncinate process, head, neck and most of the body of the pancreas indicating developing necrosis. Heterogeneity in areas of fluid indicating necrosis rather than simple fluid (i.e. acute necrotic collection). Partially occlusive portal vein thrombus. Secondary thickening of splenic flexure of colon.