UHID: AIGG.20657156
PRATIMA
PRATIMA
SARKAR
Chronic Calcific Pancreatitis
~40Y / Female • 55kg
History Duration
18+ Years
Pain Intensity
9 / 10
Clinical Phase
Active Flare
Clinical Status
CRITICAL
2026 Active Exacerbation
Clinical Context
"Marked progression of Pancreatic Duct (PD) Head from 5.4mm (Oct '23) to 7.5mm (July '25). High risk acute-on-chronic exacerbation."
Diagnostic Archive
Verified Laboratory & Imaging Database
Clinical History
Detailed Investigation Logs (2007 - 2025)
AIG Hospital, Hyderabad
Investigation: MRI Upper Abdomen & MRCP (04-10-23)
Finding: Acute on Chronic Pancreatitis with dilated PD (5.4mm), multiple strictures, and peripancreatic inflammation.
Abnormal Observations
- • Pancreas: Diffusely enlarged, Hyperintense signal (T2) suggestive of oedema. Ill-defined outline.
- • PD Head: PD dilated in body and tail measuring 5.4 mm. Multiple dilated side branches.
- • Strictures: Two small focal narrowed segments in head & neck (1.2cm & 0.6cm length).
- • Inflammation: Fat stranding in pararenal spaces & lesser sac. Small fluid pockets detected.
- • Biliary: CBD mildly dilated to 8.5 mm. Early central IHBD.
Stable Markers
- • Liver: Normal size (140mm), normal signal intensity. No focal lesion.
- • Portal Vein: Normal caliber and flow. Splenoportal axis intact.
- • Organs: GB distended, no calculi. Spleen & Kidneys appear normal.
Maharaja Agrasen Hospital
MRCP Detection: Critical progression (14-07-2025)
PD Head Diameter
7.5 mm
+2.1mm Extension since Phase I
Total Liver Span
156 mm
Hepatomegaly Verified
Technical Measurements
- • Pancreas: Mildly bulky at tail region. Max AP Diameter: 25 mm.
- • PD Head: Significant dilation to 7.5 mm.
- • PD Body & Tail: Body 5 mm, Tail 2.5 mm.
- • Biliary: CBD Dilated to 8 mm. CHD 4.8mm, RHD 3mm, LHD 2.3mm.
- • Impression: Hepatomegaly with bulky pancreatic tail. ERCP suggested.
Stable Organs
- • GB: Distended, no filling defect detected.
- • Kidneys/Bowel: Visualized bowel loop and kidneys appear normal.
- • System: Liver parenchyma shows normal signal intensity despite enlargement.
Verified Safe Zones
- GB: No Stones Detected (2023-25)
- Kidneys: Intact Architecture & Flow
- No Focal Tumor / Malignant Mass
Urgent Pathology
- Serum Amylase & Lipase
- Complete CBC / CRP Level
- LFT (Liver Function Profile)
- RBS (Blood Glucose Status)