Pancreas problem? Sonography to the rescue

This pancreas is in trouble or rather has a number of troubles.

Can you spot them dear readers?

It's pretty obvious:

A grossly dilated main pancreatic duct. More than 10 mm width. 

Normal pancreatic duct is < 3 mm.

Also multiple small pancreatic calculi evident. 

Final diagnosis:

Dilated MPD or main pancreatic duct due to chronic pancreatitis with pancreatic calculi. 

Stricture of the terminal part of MPD possibly adding to the problems. 

For more on ultrasound imaging of the pancreas:

Ultrasound imaging of pancreas