Pancreas is near completely replaced by an expansile necrotic phlegmonous isodense collection demonstrating thin rim enhancement , extensive surrounding mesenteric fat stranding – represents Walled-off pancreatic necrosis (WOPN) – late complication of acute necrotizing pancreatitis
Changes of duodenitis
Extrinsic compression of the splenic vein by the pancreatic phlegmon. No evidence of obvious filling defects in this study.
Trace free fluid in abdomen and pelvis