Which condition is NOT associated with elevated serum lipase levels?

Cirrhosis is not associated with elevated serum lipase levels. Elevated serum lipase is an enzyme primarily produced by the pancreas, and it is most commonly elevated in conditions where the pancreas is inflamed or damaged.

In acute pancreatitis, for instance, the pancreas becomes inflamed, leading to significant increases in serum lipase levels, reflecting the organ's injury. Similarly, in cases of acute cholecystitis, while the primary concern is the gallbladder, associated pancreatic inflammation can elevate lipase levels. Pancreatic neoplasms may also release lipase if the tumor affects pancreatic function or causes an obstruction leading to inflammation.

Cirrhosis, on the other hand, is a chronic liver condition that pertains primarily to liver damage and dysfunction due to various factors, such as alcoholism or viral hepatitis. It does not typically involve the pancreas directly, and thus does not lead to elevated serum lipase levels as a response to its pathology.