Question

Diagnosis of following Plain X-ray of abdomen:

• A. Enterolith in jejunum
• B. Calcific mediastinal lymph nodes
• C. Horse shoe kidney with calculi
• D. Chronic calcific pancreatitis

Hint:

Chronic pancreatitis is often diagnosed by the presence of calcifications on imaging, which help differentiate it from other abdominal conditions.

Answer 1

The Correct Option is D

To diagnose the condition depicted in the plain X-ray of the abdomen, it is essential to interpret radiographic features associated with the options provided:

• Enterolith in jejunum: Typically appears as a solitary or multiple opacity within the intestinal loops, with potential for intestinal obstruction.
• Calcific mediastinal lymph nodes: Usually detected on chest X-rays, appearing as calcified densities within the mediastinal region.
• Horse shoe kidney with calculi: Abnormal contours in renal anatomy and distinct calcified masses, typically located in the lower abdomen across the midline.
• Chronic calcific pancreatitis: Characterized by diffuse, punctate calcifications distributed along the pancreas' course.

Given these interpretations and the nature of calcifications observed on the X-ray, the most consistent diagnosis is Chronic calcific pancreatitis. This condition is identified by the presence of scattered calcifications consistent with pancreatic ducts and tissue, typically associated with the chronic form of the disease.