Right upper quadrant pain with leukocytosis. LIVER: Mildly heterogeneous liver echotexture without mass. Limited Doppler interrogation of the main portal vein demonstrates a patent main portal vein with normal directional flow. Liver length 16.6 cmBILIARY TRACT: Cholelithiasis and gallbladder sludge associated with gallbladder wall thickening and pericholecystic fluid. Positive Murphy's sign. No ductal dilatation.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. 7 cm in lengthRIGHT KIDNEY: No significant abnormalities noted. 11 cm in lengthOTHER: Left kidney 11.9 cm in length. No ascites.
Cholelithiasis and gallbladder sludge associated with gallbladder wall thickening and pericholecystic fluid. Positive Murphy's sign. Findings worrisome for acute cholecystitis. No ductal dilatation. Mildly heterogeneous liver echotexture suggestive for fatty infiltration/parenchymal dysfunction without mass. No ascites.