Right upper quadrant pain for one month. LIVER: The liver is normal in morphology and size measuring 16 cm in craniocaudal dimension without a focal lesion or biliary ductal dilatation. It is mildly echogenic in echotexture. Normal hepatopedal portal venous blood flow 0.3 m/s.BILIARY TRACT: No biliary ductal dilatation with the common duct measuring 4 mm. Mildly distended gallbladder without wall thickening, pericholecystic fluid, gallstones or focal tenderness.PANCREAS: Evaluation of the pancreas is limited by overlying bowel gas.SPLEEN: The spleen is normal in size measuring 6.5 cm without a focal lesion.RIGHT KIDNEY: The right kidney is normal in size measuring 11.2 cm without hydronephrosis, shadowing nephrolithiasis or focal lesion. OTHER: The left kidney measures 9.2 cm the hydronephrosis, shadowing nephrolithiasis or focal lesion.
No evidence of acute cholecystitis.Non-specific mildly echogenic liver parenchyma may represent fatty infiltration.