Elevated lipase. Pancreatic cyst. Please note that this examination is limited by poor acoustic penetration.LIVER: Non-cirrhotic liver morphology. Normal parenchymal echogenicity. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Cholelithiasis. No gallbladder wall thickening or sonographic Murphy sign.PANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. No cystic lesion is evident in this region. The body and tail are obscured by bowel gas. KIDNEYS: The right kidney is 9.3 cm in length. The renal parenchyma is echogenic. No suspicious renal lesions are evident. No hydronephrosis is present. The left kidney is not well visualized due to increased echogenicity and poor acoustic penetration.SPLEEN: Not well visualized.OTHER: No significant abnormalities noted. No ascites.
1. Limited visualization of the pancreatic head and neck, without cystic lesion evident.2. Cholelithiasis without evidence of cholecystitis.3. Echogenic renal parenchyma without hydronephrosis, compatible with medical renal disease.