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Weight loss and intermittent anorexia since July 2021. No vomiting or diarrhea. Mild hyperglycemia, mild persistent ALP elevation Abdominal ultrasound shows an enlarged, hypoechoic, pancreas with an irregular capsule and adjacent echogenic fat. The liver shows increased echogenicity. The gallbladder has a thickened, echogenic wall. The spleen is rounded in shape with normal parenchyma. US…