With the impression of the ultrasound, it is less likely that cancer is present. Pancreatitis can also cause inflammation of the pancreatic tail - which can be evaluated with amylase and lipase levels. It is more likely a normal (or congenital) variant is present. The radiologist seems pretty confident that no further pancreatic workup is needed and I would see no reason to disagree with the impression.
As for tests to evaluate the discomfort, I would suggest either an upper GI series or upper endoscopy to evaluate for inflammation, GERD, or an ulcer which may be causing the symptoms.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Hi, and welcome to the world of mysterious conditions of the pancreas...
In my situation, it is the head of the pancreas that shows up as "enlarged"...this was first discovered over 20 years ago when I had some tests for upper left quadrant pain and other GI symptoms. I had it thoroughly investigated then, and it disappeared for about 15 years. In the past 5 years, the discomfort has re-appeared, and sometimes my pancreatic enzymes are elevated, and I feel lousy. Again...I have had colonoscopy, ERPC (EPRC?), esophogoscopy, cat scan (with and without contrast dye), and ultrasound...they all show the enlargement, but nothing more. I've about decided it is a congenital enlargement, but I think I also have Sphincter of Oddi dysfunction....
This is just to reassure you that enlargements can be present without any pathology...