The ultrasound report’s main abnormal findings are:
- Pancreas appears atrophic.
- Main pancreatic duct is dilated to 5.0 mm.
- There are a few stones/calcifications in the pancreatic duct, largest 11.7 mm, near the tail of the pancreas.
- Minimal free fluid is seen in the pelvis (POD).
The radiologist’s impression is: possible chronic calcific pancreatitis, and they recommend correlating this with serum amylase and lipase and further evaluation if needed.
Other structures reported as normal include the liver, gallbladder, bile duct, spleen, kidneys, bladder, uterus, and ovaries.
Please arrange review with a gastroenterologist soon. Ultrasound alone cannot confirm the full cause or severity, and a pancreatic-protocol CT, MRCP, or endoscopic ultrasound may be considered to define the duct stone and rule out a narrowing or mass. Duct stones can contribute to pancreatic duct obstruction and pain.
Seek urgent care if there is severe or worsening upper-abdominal pain, repeated vomiting, fever, jaundice, fainting, or inability to eat/drink.