Reason: RUQ, rule out obstruction History: new elevated bilirubin LIVER: Coarse, echogenic hepatic parenchyma. The liver measures 17.5 cm in length. The portal vein is patent with normal directional hepatopedal portal venous blood flow, peak velocity 25.6 cm/s.GALLBLADDER, BILIARY TRACT: Shadowing mobile echogenic stone is seen in the gallbladder neck along with layering sludge. No evidence of pericholecystic inflammation or fluid. The gallbladder wall measures up to 3 mm. The common bile duct measures 0.2 cm. No biliary ductal dilatation.PANCREAS: Obscured by bowel gas.RIGHT KIDNEY: The right kidney measures 9.9 cm in length. No hydronephrosis, masses, or stones.LEFT KIDNEY: The left kidney measures 10.47 m in length. No hydronephrosis, masses, or stones.OTHER: No ascites. The spleen measures 9.5 cm in length.
1. Single stone in the gallbladder neck and layering sludge without evidence of cholecystitis.2. Coarse, echogenic hepatic parenchyma, consistent with hepatic steatosis or parenchymal dysfunction.