A 54-year-old man with long-standing heavy alcohol use has chronic epigastric pain radiating to the back, steatorrhea, and weight loss. CT shows

Question

A 54-year-old man with long-standing heavy alcohol use has chronic epigastric pain radiating to the back, steatorrhea, and weight loss. CT shows pancreatic calcifications and ductal dilation. Fecal elastase is low. Which of the following is the most likely diagnosis?

Accepted Answer

Chronic pancreatitis

Answer

Pancreatic adenocarcinoma

Answer

Acute viral gastroenteritis

Answer

Biliary colic

Answer

Celiac disease

Chronic pancreatitis — USMLE Step 3 MCQ

A 54-year-old man with long-standing heavy alcohol use has chronic epigastric pain radiating to the back, steatorrhea, and weight loss. CT shows pancreatic calcifications and ductal dilation. Fecal elastase is low. Which of the following is the most likely diagnosis?