rounded/swollen, hypoechoic parenchyma (even for a young patient) with distinct lobulations at the head of the pancreas. No visible mass or stone and no pancreatic ductal dilation.
common bile duct
the CBD is distended to 15 mm with sludge in the distal CBD and an abrupt transition as it enters the pancreatic head.
gallbladder
echogenic bile sludge is present without acoustic shadowing to indicate the presence of stone. No localized tenderness. No wall thickening or pericholecystic fluid. Negative Murphy.
intrahepatic ducts
moderate dilatation of the intrahepatic ducts measuring up to 6 mm centrally on the right and left side. No obstructing lesion identified at the porta hepatis