An Unusual Case of Ascending Pancreatitis with Mediastinal Involvement: A Case Report with CT and MRI Findings
Axial images of contrast-enhanced CT show peripancreatic fluid collections and their mediastinal extension (white arrow). CT images show a cystic mass in the mediastinum, posterior to heart and right to the thoracic aorta (dotted arrow). At inferior level, fluid collections extend as a long vertical cystic lesion along the greater curvature of the stomach up to the pancreatic tail and to the greater omentum (asterisk) with increased thickening of the perirenal fascial planes (arrowhead) and stranding in the fat surrounding the fluid collections. Small amount of pleural effusion was detected in both thoracic cavities (arrowheads).
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