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25-year-old woman with presenting with acute pancreatitis. Six months after initial presentation, portal venous phase 5 mm axial MDCT image reveals that the enhancing solid retroperitoneal deposits persist (compare to the ascitic fluid density). The post inflammatory change has an appearance that suggests carcinomatosis rather than the homogeneous, low attenuation more typical for peripancreatic retroperitoneal fat necrosis in patients with evolving acute pancreatitis.
