36-year-old male patient with recent acute pancreatitis. Evaluate for gallstones, CBD dilatation, peripancreatic fluid collection. LIVER: The liver measures 18 cm in length and demonstrates increased parenchymal echogenicity. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: There is a gallstone near the neck of the gallbladder which moves with dependent positioning. There is no significant gallbladder wall thickening or pericholecystic fluid. The common duct measures 9 mm in diameter, appearing larger in diameter compared to prior MRCP. The duct is not visualized distally.PANCREAS: Heterogeneous echogenic material is noted within the region of the pancreatic head consistent with inflammatory changes of pancreatitis. No discrete fluid collection is noted within this region.RIGHT KIDNEY: The right kidney measures 11.7 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 12.7 cm in length. No evidence of hydronephrosis.The spleen is not adequately visualized on this examination. Fluid is noted within the left upper quadrant.
1. Echogenic material within the region of the pancreatic head consistent with history of pancreatitis. No discrete collection is seen in this region, however, CT is a better means of evaluation for complications of pancreatitis.2. Common bile duct dilatation, increased in size compared to prior studies; MRCP may be considered for further evaluation. 3. Cholelithiasis without sonographic evidence of acute cholecystitis. 