30-year-old female with pancreatitis evaluation for gallstone pancreatitis or biliary obstruction. LIVER: The liver measures 15.2 cm in length. There are some areas of coarse increased echogenicity within the liver. There are no dilated ducts within the liver seen. The portal vein is patent with hepatopedal flow measuring 27.8 cm/s. BILIARY TRACT: The gallbladder is visualized without stones or significant sludge. The gallbladder wall measures 0.3 cm. The common bile duct measures 0.3 cm. PANCREAS: No obvious complications of acute pancreatitis are seen, such as fluid collections or pancreatic duct dilatation.SPLEEN: The spleen measures 9.5 cm. No significant abnormalities are noted.KIDNEY: The right kidney measures 9.95 cm. The renal cortex is normal in echogenicity. No worrisome masses, hydronephrosis, or stones are seen. The left kidney measures 11.3 cm. The cortex of the left kidney is normal echogenicity, there is no any masses, hydronephrosis, or stones seen in the left kidney.
1. No obvious complications of acute pancreatitis are noted on this study. There are no peripancreatic fluid collections and no dilation of the pancreatic duct. The common bile duct is within normal caliber, and no gallstones are seen.2.There are some areas of mild coarse increased echogenicity within the liver which may represent possible fatty infiltration/parenchymal dysfunction.