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CASE 4:

Transverse examination of epigastric region shows a normal sized pancreas with irregular contours. Pancreatic parenchyma is non-homogeneous. Small hyperechoic multiple foci with acoustic shadowing are visible mainly in the head of the pancreas. Anechoic structures, scattered all over pancreas correspond to ductal dilatation.

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ANSWER:

Chronic pancreatitis

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