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. 2019 Dec;9(12):1973–1985. doi: 10.21037/qims.2019.11.10

Figure 1.

Figure 1

Necrotizing pancreatitis. (A) A schematic diagram shows combined pancreatic and peripancreatic necrosis and pancreatic necrosis only. Two different patients with two types of acute necrotizing pancreatitis. (B) Combined pancreatic and peripancreatic necrosis in a 67-year-old woman. Axial TSE T2-weighted fat-suppressed image shows spotted and patchy hypointense areas (arrows) within hyperintensity liquefied-necrosis areas (stars) in the pancreatic body. (C,D) Pancreatic necrosis only in a 65-year-old man. Axial 3D VIBE DCE-MRI arterial phase (C) and venous phase (D) images readily show a large amount of parenchyma necrosis (arrowheads) in the head, neck, and part of the body. The extent of necrosis is nearly 50% of the pancreas. The type of peripancreatic necrosis only is discussed below. P, pancreas; N, necrosis; FT, fat tissue; TSE, turbo spin-echo; 3D VIBE, three-dimensional volumetric interpolated breath-hold examination; DCE, dynamic contrast-enhanced.