Wu’s review article Prognosis in Acute Pancreatitis was interesting but it completely overlooked the value of radiology — especially computed tomography (CT) in evaluation of severity, complications and prognosis in acute pancreatitis.1 Contrast enhanced CT obtained after three days of onset of pancreatic pain can help in providing information about extent of pancreatic necrosis, thereby differentiating necrotising (severe) from interstitial (mild) pancreatitis. A CT severity index is commonly utilized and takes into account changes in pancreas, presence of collections and the extent of necrosis. Presence of pancreatic necrosis has implications in predicting prognosis as it is associated with increased morbidity and mortality.2