 Hello everyone. I'm Dr. Saravanan Pailiapriji, AVMC, Kondicherry. My paper presentation topic is CT evaluation of acute pancreatitis. And it's towards stick condition of the CT-3R Tinted. I co-authorize Dr. Kovasar Nukesh. Acute pancreatitis is a common condition present in the circuit of the one. It's broadening glass-wide into two subtypes. One is edematous or mild acute pancreatitis. And second one is necrotizing or severe acute pancreatitis. Common causes of pancreatitis are colloquial cases and ethanol abuse. CT imaging features of acute pancreatitis include focal or diffuse embankment of the pancreas with peripangreatic fat-sturning and peripangreatic tissue thickening and fluid questions. Panthers are introduced by creating systems for acute pancreatitis or an overall assessment of size, contour and density of the cancer. So it's very pancreatic to ignore all this to predict the severity of the disease. My aim of the study is to assess the prognostic correlation of the patient's outcomes with the accepted baldasar and the modified mortal CT-3R Tinted disease in acute pancreatitis. It was a prospective study conducted from November 2020 to November 2021 in the Department of Radiative Ignorance, AVMC. Total of 30 patients referred from the Department of Emergency Medicine and Surgery in AVMC with the chief complaints of the APST cream, nausea and vomiting. The CECT was suggested that acute pancreatitis were included in the study. Patients who are clinically suspected of acute pancreatitis of all ages were included. Whereas patients with chronic pancreatitis history or other pancreatic pathologies or any previous pancreatic surgery or postoperative cases were excluded. The study group consisted of 19 male patients and 11 female patients. Length of the hospital stay, need for surgery or percutaneous intervention, evidence of infection in any organ systems, any organ failures, system failures and patient discharge or patient death as a clinical outcomes compared with the currently accepted baldasar and the modified mortal CT-3R Tinted disease in all the cases. Here this is the baldasar grading system of acute pancreatitis for a pancreatic parantema and acrosis. And here we see modified CT-3R Tinted index ratings for a pancreatic inflammation, pancreatic acrosis. Here in more than 30% of pancreatic parantemasic acrosis, the patient is given 4 points. As compared with the baldasar grading system, 30 to 50% are given 4 points and more than 50 is given 6 points. And extra pancreatic complications are given 2 points. Well, pancreatitis was when points were 0 to 2 and when points were between 4 to 6, it was given moderate. When it was between 8 to 10, it was severe pancreatitis. Here these are the images taken during the study. The first image shows bulky pancreas with heterogeneous enamel wound and mild acytes. Here modified CT-3R Tinted index and baldasar scores are 4, suggestive of moderate pancreatitis. The first image shows bulky heterogeneous pancreas with very pancreatic past standing and few necrotic areas seen within the pancreas, which are less than 30% page. And the minimally plural correction of basal subsegmental atalactases are seen in second image. Baldasar scores are 6 and modified CT-3R T scores are 8. Suggestive of intermediate and severe pancreatitis respectively. Here the first image shows diffusely edematous pancreas with very pancreatic past standing and few collections with very nefic facial degree. And the second image shows bilateral curable efficient and basal subsegmental atalactases. Here the baldasar score was 5 and modified CT-3R Tinted score was 6, suggestive of intermediate and moderate pancreatitis respectively. Here the first image shows circuit-recreation pancreatitis affecting more than 50% and second image shows circuit-recreation pancreatitis with very pancreatic quick correction. Here both the scores were in and suggestive of severe pancreatitis. These are the patients with acute necrotizing pancreatitis with more than 50% of the pancreatic clientele in the world. And both the scores were in, suggestive of severe pancreatitis. Here the first image shows brain thrombosis and the second image shows ganglionous pancreatitis with air poking inside. Here the symptoms and signs in the patients of acute pancreatitis were tipi-gastic pain, nausea and vomiting with 75% of the patients. Most common CT findings were very pancreatic inflammatory changes in this country. Second most common CT findings were pancreatic contour irregularity. Galsone was the most common surgical factor. And alcohol was the most common, second most common surgical factor seen only in males. These are the charts representing the etiology of the acute pancreatitis and the grading severity of acute pancreatitis using Balthasar and Modified Mortal CBRT indexes. Most common CT findings observed in the series are very pancreatic inflammatory changes. 26 patients had this finding. Parent came in changes in the practice including the diffuse or focal enlargement of the pancreas in the dating patients, contour irregularity in 24 and non-homogeneous attenuation of pancreas in 20 patients. The most common extra pancreatic complications this group was a full equation. The left side was more common. In the study when Balthasar CT severity index was used it was graded as mild in 13 patients, moderate in 7 and severe in 10 patients. In contrast when Modified CT severity index was used it was graded as 13 or severe and 6 as mild and 11 as moderate. It was observed in our study that no significant association existed in different subgroups or matrices when using the Balthasar. Whereas Modified CT severity index actually predicted the outcome in all the patients who had equipped in their severity grades than Balthasar CT severity index. CT was found to be excellent imaging modality in the process establishing the extent of the disease process and the grading. Modified CT severity index is a simpler scoring tool and more accurate than a Balthasar. In the study it has a stronger statistical correlation with the clinical outcome. It could also predict the need for the introduction procedures. These are my references. Thank you.