38-year-old male with pancreatitis and persistent abdominal pain, now trending conjugated bilirubin and LFTs Limited visualization of the solid organs and pancreas due to overlying bowel gasLIVER: Liver measures 20.7 cm, diffuse fatty liver noted. No intrahepatic ductal dilatation.. No definite focal lesions noted.GALLBLADDER, BILIARY TRACT: Gallbladder is well-distended without any focal lesions. Gallbladder wall thickness in the upper limit of normal measuring up to 5 mm probably secondarily inflamed due to pancreatitis. Minimal fluid noted in the Morison's pouch.Common hepatic duct measures up to 3 mm.PANCREAS: Head of the pancreas is visualized appears edematous. Rest of the pancreas not visualized due to overlying bowel gas. Haziness noted within the mid abdomen.KIDNEY: Right kidney measures 11.2 cm the left kidney measures 11 cm. No hydronephrosis. Normal echotexture noted. OTHER: Spleen measures 11.5 cm with normal echo texture.
Limited visualization of the pancreas and mid abdomen due to overlying bowel gas.Gated matter is head of the pancreas consistent with known pericarditis.Gallbladder wall thickness is secondary to the pancreatitisDiffuse fatty liver noted.Mild ascites