40. A 55-year-old man with a history of alcohol use presents with acute epigastric pain radiating to the back. Serum amylase and lipase are markedly elevated. Autopsy (ifperformed) would most likely show which early morphologic change in the pancreas?
(A) Multiple microabscesses confined to the pancreatic ducts

(B) Diffuse pancreatic fibrosis with ductal distortion and acinar atrophy
(C) Well-circumscribed encapsulated collection of necrotic ecrotic debris and fluid

(D) Acute hemorrhagic necrosis with fat saponification in peripancreatic tissues

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