Reason: please assess for gallstones/cholecystitis, liver abnormalities, spleen abnormalities History: R-sided abdominal pain. LIVER: The liver measures 23.9 cm in length and mildly irregular in contour. The liver demonstrates increased parenchymal echogenicity with coarsened echotexture. No focal hepatic lesions or masses are identified. The hyperechoic lesion seen on the 1/20/2014 examination is not seen. The portal vein is patent demonstrating hepatopetal flow with a velocity of 0.42 m/s.BILIARY TRACT: There is no evidence of cholelithiasis or convincing gallbladder wall thickening. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common hepatic duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 12.7 cm in length. RIGHT KIDNEY: Kidney measures 12.6 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 14.8 cm in length. Normal cortical echotexture. No hydronephrosis. Previously described possible left hilar hypoechoic lesion is not seen.OTHER: No significant abnormalities noted.
1.Hepatomegaly, increased hepatic echogenicity, and irregular hepatic contour compatible with chronic liver disease. No mass.2.No evidence of cholelithiasis or biliary ductal dilatation.