RADIOLOGY: PANCREAS: Case# 119: PANCREATIC NECROSIS. 22 year old black female with epigastric pain and increasing amylase. There is inflammation of the pancreas with a large portion of the body and tail showing minimal to no enhancement. No pseudocyst or peripancreatic fluid collection is present. Marked peripancreatic inflammatory changes are seen. Free fluid is present within the peritoneal cavity. Thickened bowel loops are present adjacent to the pancreas. Arterial phase scanning through the pancreas can demonstrate those areas within the pancreas that enhance indicating preserved pancreatic parenchyma. Areas which do not enhance and which display liquefaction are likely to be necrotic.