Reason: 52 yo M with abdominal pain, elevated lipase of unclear etiology LIVER: The liver measures 15.5 cm in length. Normal hepatic parenchymal echogenicity and echotexture. The portal vein is patent with normal hepatopedal directional flow, peak velocity 28.5 cm/s. No focal mass.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted. No cholelithiasis or gallbladder sludge. The common hepatic duct measures 0.2 cm. The gallbladder wall measures 0.1 cm. No significant biliary ductal dilatation. Negative sonographic Murphy's sign.PANCREAS: Hypoechoic, edematous appearing pancreas with a significantly dilated pancreatic duct measuring 0.3 mm, abruptly terminating proximally in the region of the pancreatic head.RIGHT KIDNEY: The right kidney measures 10.6 cm in length. No shadowing stones or hydronephrosis.LEFT KIDNEY: The left kidney measures 10.2 cm in length. No shadowing stones or hydronephrosis.OTHER: The spleen measures 8.2 cm in length. No ascites.
Edematous pancreatic parenchyma consistent with acute pancreatitis. Significantly dilated pancreatic duct truncating abruptly in the region of the pancreatic head; cannot exclude obstructing mass lesion. Dedicated contrast-enhanced CT of the abdomen should be obtained for further evaluation.