A 55-year-old male presented with a history of pain in the epigastric region and weight loss. The following image was obtained while scanning the pancreas. The patient also provided a past medical history of acute pancreatitis 10 years ago.

What are the ultrasound findings suggestive of?

A. Acute pancreatitis
B. Pancreatic cancer
C. Chronic pancreatitis

Image courtesy of UltrasoundCases.info owned by SonoSkills.

Explanation

The pancreas appears to be echogenic. The main pancreatic duct is slightly dilated. Multiple calcifications are seen within the parenchyma of the pancreas. These findings are suggestive of chronic pancreatitis.

References

1. https://radiopaedia.org/articles/chronic-pancreatitis-2?lang=us
2. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6639861/
3. https://www.pancreapedia.org/reviews/imaging-in-chronic-pancreatitis