Female 42 years old; Reason: r/o biliary duct stone History: right upper quadrant pain s/p cholecystetomy 2013 LIVER: The liver measures 13.4 cm in length. There is normal echogenicity of the liver parenchyma. No focal hepatic lesions. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow measured at 19.7 cm/s. GALLBLADDER/BILIARY TRACT: The gallbladder is surgically absent. The common bile duct measures 6.8 mm in diameter. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 7.3 cm and no significant abnormalities are noted. Increased echogenicity inferior to the spleen that is likely perisplenic fat or shadowing from the bowel.RIGHT KIDNEY: The right kidney measures 10.6 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 12.1 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.
1. No evidence of a biliary duct stone or intrahepatic or extrahepatic ductal dilation. The gallbladder surgically absent.2. There is an area of increased echogenicity inferior to the spleen that likely represents perisplenic fat or visualized bowel.