<p>The liver is normal in size with uniform parenchymal echo pattern. No focal hepatic mass lesion is seen. The gall bladder is demonstrated with good mucosal wall coating, no stone or sludge seen within it. The intra-hepatic biliary system and the common bile duct are within normal limits. The pancreas is entirely diffusely enlarged and show heterogeneous parenchymal echopattern but relatively preserved outline. The pancreatic duct is also dilated. No focal intra-pancreatic mass or collection is seen and the para aortic regions are within normal limits. The spleen is normal in size and parenchyma echo pattern.</p><p>The kidneys are normal in size, shape, and outline. They show good corticomedullary distinction and normal central sinus echoes. No pelvicalyceal; dilatation or calculus is seen.&nbsp;</p><p>The visualized bowel loops especially around the caecum show marked mucosal wall thickening but there is optimal peristaltic activity. No ascites is seen.</p><p>The urinary bladder is distended with urine and show normal mucosal wall thickness. No sludge or calculus seen.</p><p><strong>&nbsp;Conclusion</strong>:&nbsp; Sonographic findings suggest the following</p><p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;1. Acute pancreatitis&nbsp;</p><p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp; &nbsp; 2. Inflammatory bowel changes</p><p>NB: Laboratory work up is advised to support the diagnosis</p>