Male 24 years old Reason: assess for gallstones, hepatomegaly History: RUQ pain for last month, + Murphy's sign, associated with meals, mild scleral icterus LIVER: Increased echogenicity of the liver suggestive of fatty infiltration. Liver measures 15.5 cm. No focal hepatic mass. Main portal vein is patent with a normal direction of flow and peak velocity of 24 cm/s.BILIARY TRACT: No intra or extrahepatic biliary ductal dilatation. Common bile duct is normal measuring 3 mm. Minimal sludge is present in the gallbladder neck. No shadowing gallstones. No pericholecystic fluid or gallbladder wall thickening. Negative sonographic Murphy's sign.PANCREAS: The visualized portions of the pancreas are normal.SPLEEN: Spleen is normal in appearance measuring 9.4 cm.KIDNEYS: Normal cortical medullary differentiation. No hydronephrosis, shadowing calculi, or mass. Right kidney measures 10.3 cm. The left kidney measures 10.6 cm. OTHER: No significant abnormalities noted.
1.Increased echogenicity of the liver suggestive of fatty infiltration or diffuse hepatic dysfunction. 2.Small amount of gallbladder sludge without evidence of shadowing gallstones or cholecystitis.