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Pancreatic parenchymal abnormalities consisting of hyperechoic strands ,hyperechoic focci, lobularity noted in entire pancreas consistent with mild chronic pancreatitis. Suggestions?

results of upper endoscopic ultra sound ...what is pancreatic parenchymal abmormalities consisting of hyperechoic strands ,hyperechoic focci and lobularity noted in entire pancreas consistant with mild chronic pancreatitis . The pancreatic duct had hyperechoic walls in the main pancreatic duct ..the duct measured up to 2 mm in diameter..what is normal size ?
Asked On : Sun, 10 Feb 2013
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,

The ultrasonographic features that you have mentioned- hyperechoic strands, hyperechoic foci and lobularity suggest a chronic diseaase process in the pancreas like chronic pancreatitis as has been suggested by the sonographer.
The pancreatic duct showing hyperechoic wall may be a part of chronic inflammtory process in the pancreas.

The pancreatic duct diameter of 2 mm is within normal range.

So, the entite picture is of chronic pancreatitis with patent pancreatic duct.
As a complication of chronic pancreatis cysts can develop.
So, you need to be vigilant for any kind of abdominal pain and report to your doctor in case you develop any abdominal symptoms.
The cause for chronic pancreatitis needs to be sought out. The most common causes include gall stone and alcoholism.
See that you do not have these risk factors.
Long standing chronic pancreatitis can compromise the pancreatic functions and thus disturbances in digestion.

Thanks and take care.
Dr Shailja P Wahal
Answered: Thu, 4 Apr 2013
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