Male 69 years old; Reason: abd pain, worse with eating, r/o gallstones and liver pathology History: abd pain LIVER: The liver measures 11.9 cm in length. There is mildly increased echogenicity of the liver parenchyma consistent with fatty liver. No focal hepatic lesions. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow. GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 10.21 mm. No stones are seen. No pericholecystic fluid. The common bile duct measures 0.53 mm in diameter. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 10.3 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 11.5 cm in length. The cortex has increased echogenicity. Mild hydronephrosis is seen but no stones or worrisome masses.LEFT KIDNEY: The left kidney measures 11.9 cm in length. The cortex has increased echogenicity. No hydronephrosis, stones, or worrisome masses are seen.OTHER: No significant abnormality noted.
1. Slightly increased echogenicity of the liver consistent with fatty liver.2. Slightly increased echogenicity of the kidneys bilaterally with mild hydronephrosis on the left.3. No gallstones or biliary pathology to explain patient's abdominal pain.