Caption: Transverse midline scan
Description: There is massive dilatation of the pancreatic duct seen throughout the entire gland. Amorphous echogenic material and solid appearing areas are also noted along the posterior part of the duct. The pancreatic parenchyma is barely visible.
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Caption: Sagittal scan of RUQ
Description: The dilated pancreatic duct is seen in the pancreatic head and shows a gradual tapering. Septae-like material are seen within this part of the duct as well.
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Caption: Midline transverse scan at the epigastric level
Description: The pancreatic duct in the tail region also shows septae and some solid appearing lesions. There is echogenic material seen within the dilated duct.
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Caption: Sagittal scan of right upper quadrant
Description: The walls of the duct are lined by the echogenic material with some speckled appearance seen in the center of the duct. Some normal pancreatic parenchyma is visualized in this image.
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Caption: Midline transverse color Doppler scan
Description: The compressed but patent splenic vein is noted here.
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Caption: Transverse view of the mid abdomen
Description: A moderate amount of ascitic fluid is noted in the abdomen. The tip of the paracentesis needle is seen in the fluid.
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Caption: Midline transverse scan
Description: The dilated pancreatic duct is noted, with the septae in the duct showing contrast enhancement. There is a moderate amount of ascites and small incidental hepatic cysts are noted.
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Caption: Midline transverse scan
Description: The dilated pancreatic duct is seen with solid components within that show enhancement.
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Caption: Midline transverse scan
Description: The dilated pancreatic duct in the region of the head shows gradual tapering. Some solid components and debris are seen within. The duodenum is seen in very close proximity to the pancreatic head.
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