55-year-old male with multiple myeloma and right upper quadrant pain. The examination is, however, unfortunately limited due to patient's inability to turn. In addition, patient would not allow completion of exam of the left abdomen.LIVER: Liver parenchyma is mildly echogenic. This is nonspecific and does not appear likely to be due to fatty infiltration given no evidence of fatty infiltration on PET scan/CT from 4/22/2016 there is no focal hepatic abnormality.GALLBLADDER, BILIARY TRACT: No gallstones are identified. There is a trace of pericholecystic fluid. There is mild, asymmetric wall thickening involving the gallbladder with an appearance suggestive of adenomyosis. There is not diffuse gallbladder wall thickening. Patient was not tender over the gallbladder. The visualized biliary tract is normal in caliber.PANCREAS: The head and body are normal. The tail was not well seen.RIGHT KIDNEY: No significant abnormalities noted.OTHER: No significant abnormalities noted.
Limited examination with trace of pericholecystic fluid without gross gallstones. Possible adenomyosis of the gallbladder.. Findings are felt unlikely to be due to acute cholecystitis.Mildly echogenic liver.