38 year old female with right upper quadrant pain, history of breast cancer. Evaluate for cholelithiasis or other etiology of abdominal pain. LIVER: Increased echogenicity of the liver measuring 16.0 cm in length. No focal hepatic lesions. Portal vein is patent with appropriate directional flow; peak velocity measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: Normal echogenicity of the gallbladder. No pericholecystic fluid. No gallbladder wall thickening. Common bile duct measures 3 mm in caliber. No intra-or extrahepatic biliary ductal dilatation. PANCREAS: Normal echogenicity of the visualized pancreas.RIGHT KIDNEY: Normal echogenicity measuring 10.3 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Normal echogenicity of the left kidney measuring 11.7 cm in length. No hydronephrosis or shadowing calculi are noted.
Increased echogenicity of the liver compatible with fatty infiltration. No sonographic evidence of cholelithiasis.