60-year-old female with abdominal pain, right flank pain. Choledocholithiasis on CT, evaluate for acute cholecystitis. LIVER: Coarse echotexture of the liver measuring 19.7 cm in length. No focal hepatic lesions. Main portal vein is patent with appropriate directional flow; peak velocity measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: Stones within the gallbladder. No gallbladder wall thickening. No pericholecystic fluid. Sonographic Murphy's sign is negative. Common duct measures 5 mm in caliber. No intra-or extrahepatic biliary ductal dilatation. No evidence of choledochal lithiasis within the visualized portions of the common bile duct.PANCREAS: Distal body and tail of the pancreas are obscured by overlying bowel gas. The remaining visualized portions are unremarkable.RIGHT KIDNEY: Measures 11.2 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Spleen measures 10.2 cm in length.Left kidney measures 12.9-cm in length. No hydronephrosis or shadowing calculi are noted.
1. Cholelithiasis with no evidence of cholecystitis. No choledocholithiasis within the visualized common bile duct. 2. Coarse echotexture of the liver suggestive of parenchymal dysfunction/fatty infiltration. No focal hepatic lesions. 