Conjugated hyperbilirubinemia. Abdominal pain. LIVER: Non-cirrhotic liver morphology. Increased parenchymal echogenicity. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Normal appearance of the gallbladder, without wall thickening or shadowing gallstones.PANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 9.5 cm in length, with increased parenchymal echogenicity. The left kidney is 10.0 cm in length, with increased parenchymal echogenicity. No suspicious renal lesions are evident. No hydronephrosis is seen.SPLEEN: 9.2 cm in length, without focal lesions evident.OTHER: Small amount of upper abdominal ascites noted.
1. No specific evidence of cholecystitis or biliary ductal dilation.2. Increased hepatic parenchymal echogenicity, compatible with parenchymal dysfunction.3. Increased renal parenchymal echogenicity without hydronephrosis, compatible with medical renal disease.