71-year-old female complains of nausea and vomiting. Evaluate for hepatobiliary pathology. LIVER:The liver measures 13.8. There is normal echotexture of the liver. No masses or intrahepatic dilation. The portal vein is patent with normal hepatopedal flow.GALLBLADDER, BILIARY TRACT: The gallbladder is absent. The common bile duct measures 1.6 cm which may be related to cholecystectomy.PANCREAS: Evaluation the pancreas is limited due to bowel gas.SPLEEN: Spleen measures 10.8 cm.KIDNEYS: Left kidney measures 11.9 cm. It has normal echotexture. No shadowing calculi or hydronephrosis present. The right kidney measures 11.7 cm. It has normal echotexture. No shadowing calculi or hydronephrosis. ABDOMINAL AORTA: No significant abnormality noted.INFERIOR VENA CAVA: No significant abnormality noted.OTHER: Trace ascites noted. There are small bilateral pleural effusions.
1. Ascites and pleural effusions as above.2. Common bile duct dilated up to 16 mm, grossly stable from CT.