Reason: gallbladder, cholelithiasis on CT, now pain in RUQ LIVER: The liver measures 15.2 cm in length. The liver demonstrates increased parenchymal echogenicity with coarsened echotexture. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.29 m/s.BILIARY TRACT: Cholelithiasis including large gallstone without associated significant gallbladder wall thickening or pericholecystic fluid. The sonographic Murphy's sign is negative. 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 6.9 cm in length. RIGHT KIDNEY: Right pelvic kidney measures 9.9 cm in length. Increased cortical echogenicity. No hydronephrosis.LEFT KIDNEY: Kidney measures 11.6 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No significant abnormalities noted.
1.Cholelithiasis without sonographic evidence of acute cholecystitis or biliary ductal dilatation. 2.Increased hepatic echogenicity raising the possibility of parenchymal dysfunction/fatty infiltration.3.Increased echogenicity of right pelvic kidney raising the possibility of medical renal disease.