31-year-old male with pancreatitis, elevated bilirubin. LIVER: Measures 21.1 in length. Increased hepatic echogenicity without discrete focal lesion. Patent portal vein with antegrade flow. BILIARY TRACT: No cholelithiasis. No gallbladder wall thickening, pericholecystic fluid, or biliary ductal dilation. PANCREAS: Enlarged hypoechoic pancreas consistent with the clinical history of pancreatitis. Portions of the pancreatic tail are not well visualized due to bowel gas. No peripancreatic fluid collections are identified.SPLEEN: Unremarkable in size and echogenicity. KIDNEY: No hydronephrosis, nephrolithiasis, or solid mass. OTHER: No significant abnormalities noted.
1.Hypoechoic enlarged pancreas consistent with the clinical history of pancreatitis.2.No cholelithiasis or evidence of cholecystitis.3.Hepatomegaly and increased hepatic echogenicity consistent with hepatic steatosis or parenchymal disease.