Ri Kim D, et al. - An analysis was pursued of the pancreatic echogenicity on transabdominal ultrasonography. Additionally, authors gauged the link between fatty pancreas with metabolic syndrome (MetS), along with the insulin resistance (homeostasis model assessment of insulin resistance [HOMA-IR]). A prominent connection was revealed between an increased pancreato-perihepatic fat index (PPHFI) with MetS and insulin resistance. Findings also disclosed that the PPHFI could prove to be a useful indicator for diagnosing MetS in obese children and adolescents. The impact of the presence of fatty pancreas in obese children and adolescents warranted analysis.