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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Pancreatic Parenchymal Abnormalities Were Noted In The Entire Pancreas Indicate?

I have pancreatic insufficiency and was told it was from chronic pancreatitis . I had a EUS and am confused about what the results mean. Could someone please explain it to me. This is what the report says: Pancreatic parenchymal abnormalities were noted in the entire pancreas . These consisted of hyperechoic strands, hyperechoic foci and lobularity particularly in the head and uncinate. The body and tail had hyperechoic strands. The pancreatic duct had a beaded endosonographic appearance and was irregularly contoured in the pancratic head. The pancreatic duct measured up to 1.3 mm in diameter. Impression: Pancreatic parenchymal and ductal abnormalities indeterminant for chronic pancreatitis. Is it chronic pancreatitis?
Fri, 24 Oct 2014
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Radiologist,  's  Response
Hi,
Thanks for writing in.

The EUS report finding are explained in simple language.

1.Pancreatic parenchymal abnormalities were noted in the entire pancreas . These consisted of hyperechoic strands, hyperechoic foci and lobularity particularly in the head and uncinate.

There are dark strands seen in the region of the pancreas with lobulations (smooth indentations).

2. The body and tail had hyperechoic strands.

These strands also extend till the tail region. It involves the entire pancreas.

3. The pancreatic duct had a beaded endosonographic appearance and was irregularly contoured in the pancratic head. The pancreatic duct measured up to 1.3 mm in diameter.

The pancreatic duct shows intermittent ballooning and constrictions (beaded appearance) and measures 1.3 mm in diameter.

With the above findings the pancreas appearance is not confirmatory for chronic pancreatitis. There is no calcification or significant duct dilatation.
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What Does Pancreatic Parenchymal Abnormalities Were Noted In The Entire Pancreas Indicate?

Hi, Thanks for writing in. The EUS report finding are explained in simple language. 1.Pancreatic parenchymal abnormalities were noted in the entire pancreas . These consisted of hyperechoic strands, hyperechoic foci and lobularity particularly in the head and uncinate. There are dark strands seen in the region of the pancreas with lobulations (smooth indentations). 2. The body and tail had hyperechoic strands. These strands also extend till the tail region. It involves the entire pancreas. 3. The pancreatic duct had a beaded endosonographic appearance and was irregularly contoured in the pancratic head. The pancreatic duct measured up to 1.3 mm in diameter. The pancreatic duct shows intermittent ballooning and constrictions (beaded appearance) and measures 1.3 mm in diameter. With the above findings the pancreas appearance is not confirmatory for chronic pancreatitis. There is no calcification or significant duct dilatation.