The pancreas is seen enlarged in size, showing irregular contour, heterogeneously mixed textures with mainly its body is the seat of intra-pancreatic and peripancreatic walled off heterogeneous collections, and are seen distending the lesser sac. Another loculated heterogeneous collection is seen related to the gastro-hepatic ligament and porta-hepatis region. This is associated with marked smudging and haziness of fat planes with peripancreatic phlegmon/ collection causing significant stretching of the stomach anteriorly and pyloro-duodenal segment to the right side. No obvious intra-parenchymal gases foci were detected.
Slightly prominent regional lymph nodes are also noted.
Patent celiac and mesenteric arteries with obliterated peri-vascular fat planes.
Fairly opacified portal vein, branches, and divisions, apart from a mildly attenuated confluence of SMV with the splenic vein.
Moderate amount of free intra-peritoneal collection is also seen filling peritoneal recesses extending to para-renal spaces, para-colic gutters as well as caudally extending to pelvic recess. Additionally, retro-crural fluid extension with bilateral pleural effusion is additionally seen. Another localized walled-off collection is noted at the left subphrenic region.
Thickened gastric and intestinal walls more at the upper abdomen with edematous submucosal lining and blurred mesenteric fat planes. Heterogeneously smudged peritoneal and mesenteric fat diffusely with misty mesentery. Thickened bilateral renal fascias and blurred perinephric fat planes.
The liver appears mildly enlarged in size with non-homogeneous texture, yet no definite focal lesion or intra-hepatic biliary radicles dilatation. A right renal small stone is incidentally noted.
Catheterized urinary bladder. NG tube is noted. Edematous abdominal wall muscles with subcutaneous diffuse edematous changes.
The rest of the abdominal and pelvic organs are within normal limits