68-year-old female patient with right upper quadrant pain. Evaluate for stones or gallbladder inflammation. LIVER: The liver measures 16.2 cm in length. Hepatic parenchymal echogenicity is increased. Main portal vein flow is hepatopetal and measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: There is a shadowing gallstone near the neck of the gallbladder. There is no significant pericholecystic fluid or gallbladder wall thickening. The patient is mildly tender with palpation, however, is noted to be medicated. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 5 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 9.7 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 9.9 cm in length. No evidence of hydronephrosis.The spleen measures 8 cm in length.
1. Cholelithiasis with equivocal sonographic Murphy's sign, however, no compelling evidence of gallbladder inflammation to suggest acute cholecystitis. 2. Hepatic steatosis. 