Evaluate for acute cholecystitis. Evaluate right iliac fossa renal allograft. LIVER: The liver is normal in morphology, echogenicity and size measuring 15.3 cm in craniocaudal dimension. No focal lesion or intrahepatic biliary ductal dilatation. Normal hepatopedal portal venous blood flow at 36 cm/s. Normally distended gallbladder without significant wall thickening pericholecystic fluid or focal tenderness (although non-specific in the setting of pain medication administration)2 4 mm non-dependent adherent non-shadowing gallstones and/or polyps.BILIARY TRACT: No intra or extrahepatic biliary ductal dilatation with the common duct measuring 2 mm.PANCREAS: The visualized portions of the pancreatic head are unremarkable. The body and tail is obscured by overlying bowel gas.SPLEEN: The spleen measures 10.9 cm in length.RIGHT ILIAC FOSSA TRANSPLANT: The right iliac fossa transplanted kidney measures 13.7 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion. It demonstrates normal corticomedullary differentiation. No peritransplant fluid collection. Color Doppler demonstrates hilar blood flow.OTHER: No significant abnormalities noted.
1. Two 4 mm adherent non-shadowing gallstones versus gallbladder polyps. No evidence of acute cholecystitis.2. Unremarkable right iliac fossa renal allograft. Please note that detailed evaluation of the vasculature was not performed.