Largely aggressive pancreatitis. Broad spectrum antibiotics, pain management, and IV fluid therapy over the next 72 hours would be warranted with potential force feeding protocol if necessary. Clinical profile is more likely owing to the pancreatitis presentation and renal changes. Further images of the pancreatic duct and common bile duct would be ideal as it enters into the duodenal papilla if the patient is not responding to clinical therapy to rule out an obstruction at the level of the duodenal papilla. A recheck sonogram in 5 days would be recommended to assess resolution or progression of the right pancreatic limb. There is a minor potential for neoplasia, yet this is not suspected.