Female 97 years old; Reason: epigastric pain, r/o pathology History: pain in epigastrum LIVER: The liver measures 12 point cm in length. There is normal echogenicity of the liver parenchyma. No focal hepatic lesions. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow measured at 14.5 cm/s. GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 1.9 mm. Small shadowing echogenic foci are seen within the gallbladder along with minimal sludge. Negative sonographic Murphy sign. No pericholecystic fluid. The common bile duct measures 3.9 mm in diameter. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 8.2 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 8.5 cm in length. The cortex has slightly increased echogenicity. No hydronephrosis, stones, or worrisome masses are seen. At the superior pole a renal cyst is seen measuring 2.9 cm x 3.4 cm x 3.0 cm.LEFT KIDNEY: The left kidney measures 8.8 cm in length. The cortex has slightly increased echogenicity. No hydronephrosis, stones, or worrisome masses are seen.
1. Cholelithiasis without evidence of acute cholecystitis. No intrahepatic ductal dilation is seen.2. Bilaterally the kidneys have slightly increased echogenicity compatible with medical renal disease. No evidence of hydronephrosis.