79-year-old female with acute renal failure and right upper quadrant pain. Pancreatitis on recent noncontrast CT. Evaluate biliary tract. The exam is somewhat limited by patient motion.LIVER:Liver appears somewhat heterogeneous in echogenicity which may be due to irregular fatty infiltration. There is no focal hepatic abnormality.GALLBLADDER, BILIARY TRACT: Gallbladder appears normal without cholelithiasis, wall thickening or pericholecystic fluid. Biliary tract appears normal in caliber.PANCREAS: Limited due to bowel gas.SPLEEN: No significant abnormality noted.KIDNEYS: The right kidney measures 9.4 cm in length. There is no hydronephrosis, shadowing calculus or mass. Echotexture appears normal.Left kidney is less well-visualized measuring at least 8.6 cm in length. No hydronephrosis.ABDOMINAL AORTA: No significant abnormality noted.INFERIOR VENA CAVA: No significant abnormality noted.OTHER: Small amount of ascites adjacent to the left lobe of the liver as well as the inferior right lobe.Right pleural effusion.
Irregular fatty liver. Small amount of ascites.Right pleural effusion.