70 years old, Male, Reason: elevated conjugated bilirubin, abdominal pain, evaluate for acute cholecystitis and CBD dilatation LIVER: The liver measures 15.7 cm in length. Multiple hepatic cysts are present the largest of which measures 2.1 x 1.7 x 1.8 cm. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.3 m/s.BILIARY TRACT: There is sludge present within the gallbladder without evidence of gallbladder wall thickening or pericholecystic fluid. Per ultrasound technologist, negative sonographic Murphy's sign. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 5 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 8.7 cm in length. RIGHT KIDNEY: Kidney measures 10.4 cm in length. Mildly increased echogenicity of the kidney. No evidence of hydronephrosis or shadowing calculus.LEFT KIDNEY: Kidney measures 11.7 cm in length. Mildly increased echogenicity of the kidneys. No evidence of hydronephrosis or shadowing calculus.
1.Gallbladder sludge without evidence of acute cholecystitis.