The kidneys revealed thickened cortices and mild pyelectasia. The right kidney measured 4.6 cm. The left kidney measured 4.49 cm with pelvic calculus. A cortical infarct was noted in the left kidney and is likely deriving from calculus movement. Power Doppler assessment of the kidneys appeared to be adequate. The adrenal glands were uniform, yet bilaterally swollen and hypoechoic. This is most consistent with stress-induced hyperplasia.  The spleen was mildly enlarged with undulating capsular contour. This is consistent with reactive spleen owing to immune stimulus or early infiltrative disease such as mast cell disease or lymphoma. The liver presented a mildly dilated cystic duct with uniform, hypoechogenicity.  The gastrointestinal presentation revealed mild uniform prominence of the gastric mucosa as well as areas of “ropey” small intestinal wall with slight disruption of the normal 1:3 muscularis/mucosal ratio. The intestinal mucosa was slightly irregular, thickened and hyperechoic suggestive of low grade, chronic inflammation.  The pancreas was enlarged, hypoechoic and irregular. This is strongly suggestive for chronic active pancreatitis. The pancreas at the left base measured approximately 2.0 cm in width with swollen contour and pericapsular inflammatory pattern.