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Egyptian Journal of Radiology and Nuclear Medicine
Fig. 1 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 1

From: COVID-19 infection initially presented by interstitial edematous pancreatitis and acute peri-pancreatic collection; the first CT case report in Egypt

Fig. 1

A–C Basal chest CT cuts (mediastinal and lung window) showed bilateral variable-sized bronchocentric and sub-pleural consolidative pneumonic patches (CO-RADS 5) with a mild bilateral pleural collection. D–E Axial abdominal CT cuts revealed a large peri-pancreatic and left anterior para-renal homogenous and hypo-attenuated fluid collections (8 Hu) with mild stranding of the nearby fat planes (yellow arrows). Nearby mural thickening and sub-mucosal edematous changes of the pyloro-duodenal junction, denoting secondary gastro-duodenitis (blue arrow). The pancreas retained homogenous parenchyma without necrotic areas. The main pancreatic duct (MPD) was not dilated. [F] Coronal abdominal CT cut revealed mildly enlarged spleen, reaching 14 cm in maximum bi-polar diameter, without focal lesions. The pancreatic collection (yellow arrow) and basal pneumonic changes (green arrow) are obvious … COVID-19 infection complicated with acute pancreatitis and an acute peri-pancreatic fluid collection was the diagnosis according to the revised Atlanta Classification. The Balthazar modified CT-severity index (CTSI) was 6/10 (moderate)

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