45-year-old female patient with epigastric pain, lipase greater than 3000. Evaluate for gallstones. LIVER: The liver measures 15.7 cm in length. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 5 mm in diameter.PANCREAS: The head and body of the pancreas demonstrates decreased echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 11.9 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 12.1 cm in length. No evidence of hydronephrosis.The spleen measures 8.2 cm in length.
1. Hypoechoic pancreas which can be seen with inflammation/pancreatitis. 2. No evidence of cholelithiasis.