Right upper quadrant pain LIVER: Non-cirrhotic liver morphology. Normal parenchymal echogenicity. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Multiple subcentimeter gallstones identified. Very mild gallbladder wall thickening. Positive sonographic Murphy's sign elicited.PANCREAS: Obscured by bowel gas.KIDNEYS: The right kidney is 10.8 cm in length. The left kidney is 10.5 cm in length. No suspicious renal lesions are evident. No hydronephrosis is present.SPLEEN: 8.4 cm in length, without focal lesions evident.OTHER: No significant abnormalities noted. No ascites.
Cholelithiasis with mild gallbladder wall thickening and positive sonographic Murphy's sign, likely representing mild cholecystitis.