Reason: ruq pain with nausea and vomiting for 3 weeks History: as above LIVER: The liver measures 14.4 cm in length. Unremarkable hepatic parenchymal echogenicity and echotexture. The portal vein is patent with normal directional hepatopedal flow, peak velocity is 34.3 cm/s. No focal mass.GALLBLADDER, BILIARY TRACT: The gallbladder is decompressed without evidence of shadowing stones or pericholecystic inflammation. The gallbladder wall measures 0.2 cm. The common bile duct measures 0.3 cm. No significant intrahepatic or extrahepatic biliary ductal dilatation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: The right kidney measures 10.1 cm in length. The left kidney measures 9.4 cm in length. Unremarkable renal parenchymal echogenicity and echotexture. No hydronephrosis. There is a small nonobstructive hyperechoic left mid pole renal calculus measuring up to 5 mm.OTHER: The spleen measures 9.0 cm in length.
1. Small nonobstructive left renal stone. No hydronephrosis.2. No acute hepatobiliary abnormality.