26-year-old male patient with right upper quadrant abdominal pain. Question of cholecystitis. LIVER: The liver measures 19.6 cm in length. The hepatic parenchyma is diffusely heterogeneous in echogenicity and increased. Main portal vein flow is hepatopetal and measures 0.27 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. Sonographic Murphy's sign is equivocal. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 4 mm in diameter.PANCREAS: The pancreas is not visualized on this examination secondary to overlying bowel gas.RIGHT KIDNEY: The right kidney measures 9.8 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 9.4 cm in length. No evidence of hydronephrosis.The spleen measures 14.7 cm in length.
1. No gallstones or sonographic evidence of acute cholecystitis. 2. Hepatosplenomegaly.3. Heterogeneous, increased hepatic parenchymal echogenicity of uncertain etiology, possibly representing parenchymal dysfunction.