Acute right upper quadrant colicky pain for one month. LIVER: The liver measures 15.0 cm in length. The liver parenchymal echotexture is normal. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.29 m/s.BILIARY TRACT: Cholelithiasis. No associated gallbladder wall thickening or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted.The spleen measures 8.2 cm in length. RIGHT KIDNEY: Kidney measures 10.7 cm in length. LEFT KIDNEY: Kidney measures 11.1 cm in length. Subcentimeter simple cyst within the interpolar left kidney.OTHER: No significant abnormalities noted.
Cholelithiasis without sonographic evidence of acute cholecystitis or biliary ductal dilatation.