32 year-old female with right upper quadrant pain. Evaluate for abscess underneath right upper quadrant incision. LIVER: The liver is normal in morphology, echogenicity and size, measuring 16 7 cm in craniocaudal dimension. No intrahepatic biliary ductal dilatation or focal hepatic lesion is evident. There is normal hepatopetal portal venous blood flow at 20 cm/sec.BILIARY TRACT: A 1.3 cm mobile gallstone is noted in a normally distended gallbladder without wall thickening, pericholecystic fluid, or focal tenderness. No extrahepatic biliary duct dilatation with the common bile duct measuring up to 3 mm.PANCREAS: The visualized pancreatic head and body are unremarkable.SPLEEN: The spleen measures 10.5 cm in length without a discrete abnormality.RIGHT KIDNEY: The right kidney measures 10.2 cm in length without hydronephrosis, shadowing calculus or discrete lesion evident. Color Doppler demonstrates hilar blood flow. OTHER: Targeted ultrasound was performed of the right upper quadrant incision site and demonstrates no discrete fluid collection.The left kidney measures 10.8 cm in length without hydronephrosis, shadowing calculus or discrete lesion evident. Color Doppler demonstrates hilar blood flow.
Cholelithiasis without evidence of acute cholecystitis. No fluid collection at the site of the patients right upper quadrant incision. 