21 year-old male with epigastric pain, elevated lipase LIVER: Measures 19.2 cm in length. No focal hepatic lesions. Main portal vein is patent with appropriate directional flow; peak velocity measures 0.4 m/sec.BILIARY TRACT: Normal echogenicity of the gallbladder. No gallbladder wall thickening. No pericholecystic fluid. Common duct measures 4 mm in caliber. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: The visualized pancreas is unremarkable.SPLEEN: Normal echogenicity of the spleen measuring 11.4 cm in lengthRIGHT KIDNEY: Atrophic with increased echogenicity measuring 8.0 cm in length. OTHER: Left kidney is atrophic with increased echogenicity measuring 6.3 cm in length.
1. The visualized pancreas is unremarkable. If there is clinical concern for pancreatitis, this can be better evaluated with a contrast enhanced CT study. 2. Hepatomegaly with no focal hepatic lesions.3. Atrophic and echogenic kidneys suggestive of parenchymal dysfunction. 