Reason: right abdominal pain and firmness; evaluate for hepatic congestion, biliary dilation, and/or RLQ mass LIVER: Echogenic liver parenchyma with coarse echotexture, consistent with hepatic steatosis, parenchymal dysfunction, or chronic liver disease. The liver measures 19.4 cm in length. The portal vein is patent with normal directional hepatopedal portal venous blood flow and peak velocity of 19.9 cm/s. No focal masses.GALLBLADDER, BILIARY TRACT: Several echogenic stones are noted in the dependent portion of the gallbladder body/fundus without evidence of inflammation or cholecystitis. Negative sonographic Murphy's sign. No biliary ductal dilatation. The proximal common bile duct measures 0.4 cm. The gallbladder wall measures 0.2 cm.PANCREAS: Obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 11.6 cm in length. Normal renal parenchymal echogenicity without hydronephrosis, mass, or shadowing calculi.LEFT KIDNEY: The left kidney measures 11.2 cm in length. Normal renal parenchymal echogenicity without hydronephrosis, mass, or shadowing calculi.SPLEEN: The spleen measures 10.1 cm in length.OTHER: No significant abnormalities noted.
1. Echogenic, coarse liver parenchyma, consistent with hepatic steatosis, parenchymal dysfunction, or chronic liver disease.2. Cholelithiasis without evidence of cholecystitis or biliary ductal dilatation.