64-year-old female patient with history of acute pancreatitis, EUS on 08/21/2015 demonstrated "hyperechoic strands and lobularity of the entire pancreas." ABDOMEN:LIVER, BILIARY TRACT: Status post cholecystectomy. Common bile duct is normal caliber and morphology and measures 5 mm in diameter. No focal liver lesion seen. Hepatic vasculature is patent. No intrahepatic biliary ductal dilatation. There is decreased signal in the hepatic parenchyma on in-phase imaging, which can be seen in the setting of intrahepatic iron deposition.SPLEEN: No significant abnormality noted.PANCREAS: The main pancreatic duct is normal in caliber and morphology. There is subtle T1 heterogeneity in the head of the pancreas, which may be a sequelae of prior pancreatitis. No significant peripancreatic edema to suggest acute pancreatitis or focal areas of necrosis.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Again seen is a focus of fat signal intensity with peripheral rim enhancement abutting the anterior margin of the left hepatic lobe, compatible with fat necrosis. Hiatal hernia noted. Again seen is a distended stomach containing ingested material throughout the examination. There is no evidence of mechanical gastric outlet obstruction.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.No evidence of acute pancreatitis or biliary pathology.2.Subtle T1 heterogeneity in the head of the pancreas, which may be a sequelae of prior pancreatitis.3.Decreased signal in the hepatic parenchyma on in-phase imaging, which can be seen in the setting of hepatic iron deposition.4.Stomach distended throughout examination. This finding raises question of gastroparesis and can be further evaluated with a nuclear medicine gastric emptying study as clinically indicated.