Which condition is NOT typically associated with elevated ALT levels?

Elevated alanine aminotransferase (ALT) levels are commonly associated with liver-related conditions, as ALT is primarily found in liver cells. When the liver is damaged, such as in cases of acute hepatitis, cirrhosis, or even muscle injury, ALT is released into the bloodstream, resulting in elevated levels.

Chronic pancreatitis, however, does not typically lead to elevated ALT levels because it primarily affects the pancreas rather than the liver. While there can be secondary effects on liver function in severe cases of pancreatitis, ALT levels would not be elevated as a direct result of the condition itself. Instead, other enzymes related to pancreatic function or bile duct obstruction might see increased levels in the context of pancreatitis.

Thus, chronic pancreatitis stands out as the condition that is not associated with elevated ALT levels, making it the correct answer.