Right upper quadrant pain. LIVER: The liver measures 17.4 cm in length. The liver parenchymal echotexture is normal. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.21 m/s.BILIARY TRACT: Cholelithiasis without associated gallbladder wall thickening or pericholecystic fluid. Technologist reported positive Murphy's sign. There is a shadowing stone measuring up to 1.1 cm in the intrapancreatic portion of the common bile duct with associated upstream dilation of the common bile duct up to 8 mm. No significant intrahepatic biliary ductal dilatation.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 11.4 cm in length. RIGHT KIDNEY: Kidney measures 11.8 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 11.6 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No significant abnormalities noted.
1.Choledocholithiasis including 1.1 cm common bile duct stone with associated extrahepatic biliary ductal dilatation.2.Cholelithiasis without associated gallbladder wall thickening or pericholecystic fluid.Preliminary findings of choledocholithiasis were discussed by radiology resident on call resident with Dr. Bokarius 4:07 a.m. on 12/13/2016.