SUBTLE & EARLY CHANGES OF ACUTE PANCREATITIS ON CT SCAN

 SUBTLE & EARLY CHANGES OF ACUTE PANCREATITIS ON CT SCAN

  67 /  F

  DM

  Pain since 5 hrs (started 3 pm)

  CT Scan at 8 pm

  Lipase: > 3000 U/L

  Alpha- amylase: 2839 U/L

  CT SCAN:

  Non - Contrast Image

  The pancreas is slightly bulky for the age

  Subtle fat stranding and thickening of adjacent fascia is seen.

  Distended gallbladder with neck calculus (probably early cholecystitis)

  Hepatomegaly with fatty liver (clinical importance: patients with fatty liver have relative       bad prognosis compared to without fatty liver). 

Check the following article:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5426076/

  Companion case to 

   https://abdominalimaging.blogspot.com/2022/07/diffusion-weighted-imaging-and-acute.html