Pancreatitis CT Teaching File

Pancreas appears bulky and shows heterogenous enhacement along with fluid and stranding in the peripancreatic fat, mesentry and mesocolic region.  There is thickening of the anterior renal and lateroconal fascia with relative preservation of the perirenal fascia. Areas of calcification/calculi are noted in pancreatic uncinate process along with small density in the distal CBD which may indicate associated choledocolithiasis.  These findings are suggestive of acute pancreatitis which may be super imposed on chronic pancreatitis, indicated by parenchymal calcification.