24 year old female with neurofibromatosis Type I with abdominal pain and nausea. LIVER: The liver is normal in morphology, echogenicity and size, measuring 15.6 cm in craniocaudal dimension. No intrahepatic biliary ductal dilatation or focal hepatic lesion is identified. There is normal hepatopetal portal venous blood flow at 30 cm/sec.BILIARY TRACT: A normally distended gallbladder is present without gallstones, wall thickening, pericholecystic fluid, or focal tenderness. No extrahepatic biliary ductal dilatation with the common hepatic duct measuring 4 mm.PANCREAS: The pancreas is obscured by overlying bowel gas shadowing.SPLEEN: The spleen measures 11.4 cm.RIGHT KIDNEY: The right kidney measures 11.2 cm in length without hydronephrosis or shadowing calculus. OTHER: The left kidney measures 12.6 cm in length without hydronephrosis or shadowing calculus.
No specific findings to account for the patient's right upper quadrant pain. Please note that the pancreas is obscured by overlying bowel gas.