pt.suffer from pain abd.in Lt. hypochondriac region before 20days,there no h/o any other diseases

58/M chronic smoker and alcoholism present with severe excruciating pain in epigastrium extending both hypochondria since 2-3 days. No fever, SoB, Vomiting, gi bleed, altered bowel or bladder. Tolerating orally. CBP, ECG, amylase lipase.....WNL. This is Abdomen x-ray erect position. possibilities?

Chest X-ray showing ARDS in a patient with acute hemorrhagic pancreatitis.

X-ray of the abdomen in a patient with abdominal distention, fevers, abdominal pain. opine pleae

43years female patient k/c/o dm presented with pain in rt hypochondriac region vomiting 2episode in one year two times usg done same report kibdly help in further managment