Male 40 years old Reason: assess RUQ for presence of cholelithiasis History: elevated LFTs, elevated lipase LIMITED ABDOMENLIVER: Liver measures 22.2 cm in length. The parenchyma is coarsened and echogenic. Portal venous flow is normal.BILIARY TRACT: Gallbladder sludge without wall thickening or pericholecystic fluid. No intra or extrahepatic biliary ductal dilation.PANCREAS: The pancreas is obscured by overlying bowel gas.KIDNEYS: The right kidney measures 11.1 cm. No hydronephrosis or nephrolithiasis. The left kidney measures 12.7 cm. No hydronephrosis or nephrolithiasis.SPLEEN: The spleen measures 12.7 cm in length.
1.Gallbladder sludge without wall thickening or pericholecystic fluid.2.Hepatomegaly and coarse liver echotexture.