Rule out cholelithiasis. Abdominal pain in 40+-year-old woman who is overweight. LIVER: The liver is markedly echogenic compatible with fatty infiltration. It measures 20.1 cm in length. No focal lesions are evident. Portal vein is patent with flow toward the liver on color Doppler imaging.BILIARY TRACT: No gallstones. The common duct measures 3 mm which is within normal limits.PANCREAS: Limited evaluation secondary to overlying bowel gas.SPLEEN: No focal lesions. The spleen measures 9.9 cm in length.RIGHT KIDNEY: No hydronephrosis of either kidney. The right kidney measures 11.1 cm in length and the left kidney measures 11.6 cm in length OTHER: No significant abnormalities noted.
Echogenic liver compatible fatty infiltration. No gallstones identified.