Hi, I understand your concern. Lymph node detection near pancreas, in your ultrasound report can be - - an artifact.. needs to be confirmed by repeat USG scan. - Inflammation or infection of pan creas can cause such glands. - Infection/ inflammation/ affection of nearby organs like spleen can be the cause. - Problems of lymphatic system like Hodgkin s disease , malignancy are other possible causes. Though you are a fit person , looking at the age.. you should get investigated.. - repeat USG scan/ CT scan/ MRI ( as per advise ) - Consult a gastroenterologist & seek expert opinion to exclude / diagnose exact cause & get specific treatment. thanks.