Female; 57 years old. Reason: RUQ pathology History: sepsis, unknown source of infection, ?gb or biliary source LIVER: The liver measures 21.5 cm in length. The liver surface is smooth. The parenchyma has normal echogenicity. No worrisome mass is identified. There is no ascites.The main portal vein is patent with hepatopetal flow and a peak velocity of 0.22 m/sec.BILIARY TRACT: Layering sludge is seen within the gallbladder. No discrete gallstone is identified. The gallbladder wall measures 5 mm. There is pericholecystic fluid. The common duct measures 3 mm in diameter.There is no intrahepatic biliary ductal dilatation.PANCREAS: The pancreas is not well-visualized due to overlying bowel gas.SPLEEN: The spleen measures 11.1 cm in length.KIDNEYS: The right kidney measures 12.0 cm in length. The left kidney measures 11.6 cm in length. The renal cortices are echogenic bilaterally. There is no hydronephrosis, shadowing renal stone, or worrisome renal mass identified.OTHER: The bladder is compressed by a Foley catheter.In the midline of the pelvis, superior to the bladder is a well-circumscribed, solid, echogenic mass.
1.Gallbladder wall thickening and pericholecystic fluid concerning for acute cholecystitis. Sludge is seen layering within the gallbladder but no discrete stone is identified. No biliary ductal dilatation.2.Echogenic kidneys compatible with medical renal disease.3.Hepatomegaly.4.Well-circumscribed midline pelvic mass is favored to represent a pedunculated uterine fibroid; cross sectional imaging would be helpful for further characterization.These findings were discussed by telephone with Dr. Gao on 2/18/2015 at 15:50.