Female; 68 years old. Reason: Evaluate gallbladder sludge vs stones History: abdominal pain, not related to activity LIVER: The liver measures 16.5 cm the length. The contour is smooth and the parenchyma demonstrates normal echotexture. No focal lesions are identified. The main portal vein is patent and demonstrates normal direction of flow with a peak velocity 20 cm/sec.BILIARY TRACT: The gallbladder is contracted and not well visualized. It is filled with shadowing stones. The patient is tender when scanning over the gallbladder. The common bile duct measures 3 mm. There is no intrahepatic biliary ductal dilatation.PANCREAS: Pancreatic head is unremarkable. The body and tail are obscured by overlying bowel gas.SPLEEN: 10.2 cm in length.RIGHT KIDNEY: 9.5 cm in length. Several simple cysts are redemonstrated, the largest measures 3.6 x 4.0 x 4.1 cm . There is no hydronephrosis. The renal parenchyma is mildly echogenic.LEFT KIDNEY: 10.0 cm in length with a 2.1 x 2.2 x 1.7 cm simple cyst. There is no hydronephrosis. The renal parenchyma is mildly echogenic..OTHER: There is no ascites.
1.Contracted gallbladder with multiple gallstones. No intra-or extrahepatic biliary ductal dilatation.2.Bilateral simple renal cysts.