What Does My Endoscopic Ultrasound Scan Report Indicate?

Posted on Mon, 13 Nov 2017

Question: EUS results. What do they mean?
Pancreatic parenchymal abnormalities consisting of diffuse echogenicity, hyperechoic strands and hypoechoic foci were noted in the entire pancreas. Is this chronic pancreatitis?

Answered by Dr. Vivek Chail (5 hours later)

Brief Answer:
The features mentioned are visualised in chronic pancreatitis

Detailed Answer:
Hi,
Thanks for writing in to us.

EUS shows diffuse echogeicity, hyperechoic strands and hypoechoic foci in the entire pancreas.

The above features can be visualised in chronic pancreatitis.

There are other findings also which are also visualised in chronic pancreatitis on EUS and these include ductal dilatation (main pancreatic duct and side branches), calculi and duct wall echogenicity.

Please do write back if you have any doubts.

Regards,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Vivek Chail (8 minutes later)

So Doctor you think it is chronic pancreatitis? So it's not indeterminate?

Answered by Dr. Vivek Chail (1 hour later)

Brief Answer:
With the provided description, chronic pancreatitis is most likely

Detailed Answer:
Hi,
Thanks for writing back with an update.

From the description mentioned in your query, a possibility of chronic pancreatitis is the most likely diagnosis.

It is rare to find such features in more serious conditions like malignancy.

In my career, only once about 12 years back, in one patient we had initially made a diagnosis of chronic pancreatitis by CT scan but eventually it turned out to be a malignancy on surgery.

However EUS is a more accurate investigation for pancreas in recent times.

A close clinical course of the symptoms is most important.

Regards,

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar