46-year-old female patient with history of gallbladder attack and nausea/vomiting. Evaluate for abnormality. LIVER: The liver measures 16.4 cm in length. Hepatic parenchymal echogenicity is increased. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: There are numerous shadowing gallstones without pericholecystic fluid or gallbladder wall thickening. Sonographic Murphy's sign is negative. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 4 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 10.3 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 8.5 cm in length. No evidence of hydronephrosis.The spleen measures 9.1 cm in length.
1. Cholithiasis without sonographic evidence of acute cholecystitis.2. Hepatic steatosis. 