Objective: To study the value of computed tomography evaluation in early diagnosis of acute pancreatitis and to evaluate the complications of acute pancreatitis using the Modified computed tomography severity index(MCTSI) and its correlation with clinical outcome Methods: This observational study was conducted at a tertiary health center over the period of 2 years from 2020-2022.The study sample included 100 patients with clinical/laboratory/ultrasonography diagnoses of acute pancreatitis, who were willing to undergo Contrast-enhanced computed tomography & included in the study. These patients based on their MCTSI (Modified CT Severity Index) score were subjected to either conservative management or surgical/endoscopic intervention. An attempt was made to establish a correlation between the MCTSI score at presentation and possible local/systemic complications as well as clinical outcomes