Image Challenge – April 23rd

Reference here – no peeking!!

Question: What is depicted by the image below (see arrows) and what diagnosis does this finding point towards?

Answer: In this image, one of the main findings is a pancreatic pseudocyst which is a complication of chronic pancreatitis. In patients who are asymptomatic, the management is conservative and includes follow up imaging in 3-6 months with CT/MRI to assess for reduction in size or resolution. In patients who have symptoms or signs of obstruction/bleeding/infection, then drainage may be required.


  1. Howell & Shah. Approach to walled-off pancreatic fluid collections in adults. UptoDate page – Accessed May 1, 2022.
  2. Pancreatic pseudocyst, a delayed complication of organophosphorus poisoning – Scientific Figure on ResearchGate. Available from: [accessed April 23, 2022]

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