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Fig. 4A —Grade E pancreatitis without necrosis in 47-year-old man. Axial image from contrast-enhanced CT examination performed 5 months after initial episode for abdominal pain and decrease in hematocrit level shows hemorrhagic pseudocyst (white arrows) in wall of duodenum and leakage of blood (arrowheads) into peritoneal cavity. Additionally, small pseudocyst is present in head of pancreas (black arrow).