18-year-old female with history of pancreatitis, pain. Evaluate for gallstones. LIVER: Measures 15.4 in length. Unremarkable hepatic echogenicity without discrete focal lesion. Patent portal vein with antegrade flow. BILIARY TRACT: No evidence of cholelithiasis. Common bile duct is dilated up to 1 cm in diameter. Portions of the distal common bile duct are not clearly visualized due to bowel gas. No gallbladder wall thickening or pericholecystic fluid.PANCREAS: The pancreas is incompletely imaged due to bowel gas. The pancreatic head is heterogeneously hypoechoic and enlarged with surrounding peripancreatic fluid. There is no evidence of pancreatic ductal dilation. No discrete pancreatic fluid collections are identified.SPLEEN: Unremarkable in size and echogenicity. KIDNEY: No hydronephrosis, nephrolithiasis, or solid mass. OTHER: Moderate ascites.
1. No evidence of cholelithiasis or acute cholecystitis. Dilation of the common bile duct to 1 cm without evidence of choledocholithiasis, though portions of the distal common bile duct cannot be clearly visualized on this study. 2. Enlarged heterogeneously hypoechoic pancreatic head consistent with acute pancreatitis. 3. Moderate abdominal ascites. 