EUS criteria for CP |
MST definition* |
Histological correlate |
Hyperechoic foci |
Small distinct reflectors |
Focal fibrosis |
Hyperechoic strand |
Small string-like hyperechoic structures |
Bridging fibrosis |
Lobular out gland margin |
No MST definition |
Fibrosis, glandular atrophy |
Lobularity |
Containing lobules-rounded homogeneous areas separated by strands of another echogenicity |
Interlobular fibrosis |
Cyst |
Abnormal anechoic round or oval structure |
Cysts/pseudocysts |
Stone |
Hyperechoic lesion with acoustic shadowing within a duct or gallbladder |
Calcified stones |
Calcification |
Hyperechoic lesion with acoustic shadow within a parenchymal organ or a mass |
Parenchymal calcification |
Ductal dilation |
No MST definition |
>3 mm in head, >2 mm in body, >1 mm in tail |
Side branch dilation |
No MST definition |
Side branch dilation |
Duct irregularity |
Coarse, uneven outline of the duct |
Focal dilation/narrowing |
Hyperechoic duct margins |
No MST definition |
Periductal fibrosis |
Atrophy |
No MST definition |
Atrophy |
Inhomogeneous echo pattern |
No MST definition |
Edema |