Reason: Right upper quadrant pain, please evaluate for cholecystitis or cholelithiasis. LIVER: The liver measures 15.9 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 0.26 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 8.8 cm in length. RIGHT KIDNEY: Kidney measures 11.7 cm in length. Increased parenchymal echogenicity. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 13.6 cm in length. Increased parenchymal echogenicity. No hydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted.
1.No evidence of acute cholecystitis or biliary ductal dilatation.2.Mildly echogenic kidneys raising the possibility of medical renal disease.