Magnetic resonance imaging for acute pancreatitis in type 2 diabetes patients

Figure 3 A 49-year-old woman with type 2 diabetes mellitus with severe acute pancreatitis whose average blood glucose level was 7. 67 mmol/L. A: Axial T1-weighted image shows local hypointensity (arrow) in the head and neck of the pancreas. Peripancreatic fluid collection (asterisk) exhibit slightly hyperintensity; B: Axial T2-weighted image with fat suppression shows local hyperintensity (arrow) in the head and neck of the pancreas. Peripancreatic fluid collection (asterisk) exhibits profound hyperintensity; C: Axial T2-weighted image with fat suppression shows pancreatic swelling and hyperintense areas (arrows), concomitant with acute necrotic collection restricted to omental bursa; D: Postcontrast arterial phase axial magnetic resonance (MR) image shows nonenhanced areas (N) compatible with parenchyma necrosis (30% to 50% parenchyma involvement) in the head and body of the pancreas (MR severity index score of 6 points). GB: Gall bladder; L: Liver; LK: Left kidney; N: Necrotic areas; P: Pancreas; RK: Right kidney; Sp: Spleen; WON: Walled-off necrosis.