Middle aged man with Abdominal pain. ? Mass ?Duodenal Perforation ? Pancreatitis

Pain abdomen in a patient with fatty liver and chronic pancreatitis. Step by step approach to assess panceaticoduodenal groove on imaging with emphasis on differentiating the lesions arising from the groove from those arising from the pancreatic head.
#Pancreaticoduodenal groove
#fattyliver
#Alcoholism
#Chronic Pancreatitis
#Para duodenal Pancreatitis
#Groove Pancreatitis
#Minor papilla
#Gastric outlet obstruction

[@drrehmatrahi4214]

Awesome 👏

[@tendances2346]

Thank you

[@srinivasaraosirasapalli5104]

Excellent

[@prosantabarikder978]

happy learning mam

[@vkvramesh9628]

Nice presentation mam

[@RadScope24]

Thanks 👍🏼

[@avinashranjan700]

Amazing❤

[@RadScope24]

Thanks 😄

[@sureshgubbala4705]

Mam.can it be a pseudocyst with hemorhagic transformation?.

[@RadScope24]

Hi Suresh. Pseudocyst is a good differential to consider for peri pancreatic cystic lesions. However, pseudocysts are typically homogenous as haemorrhage in them is quite rare and majority of these have a history of acute pancreatitis to link them with. This particular cystic lesion had typical clinical history, location and complications (duodenal obstruction) to favour para duodenal pancreatitis over other differentials.

[@sureshgubbala4705]

@@RadScope24 Got it mam.thank you