49 year old male with pancreatitis, epigastric abdominal pain. Evaluate for gallstones. LIVER: Measures 24.1 cm in length. No focal hepatic lesion. Main portal vein is patent with appropriate directional flow; peak velocity measures 0.4 m/s. GALLBLADDER, BILIARY TRACT: Normal echogenicity of the gallbladder. Gallbladder wall measures 4 mm in thickness. No pericholecystic fluid. Common duct measures 8 mm in caliber which tapers distally to 6 mm. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Not well visualized due to overlying bowel gas.RIGHT KIDNEY: Right kidney measures 13.9 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Spleen measures 14.8 cm in length.Left measures 13.9 cm in length. No hydronephrosis or shadowing calculi are noted.
1. Hepatosplenomegaly with heterogeneous echotexture of the liver suggestive of parenchymal dysfunction/fatty infiltration. No focal hepatic lesion. 2. No evidence of cholelithiasis. 