76-year-old male who is status post cholecystectomy presents with right upper quadrant pain. LIVER:Measures 13.9 cm. Normal echotexture. No focal mass or ascites. There is dirty shadowing arising from the intrahepatic biliary tract, consistent with pneumobilia. The portal vein is patent with normal hepatopedal flow.GALLBLADDER, BILIARY TRACT: The gallbladder is absent. The common hepatic duct measures 0.3 cm.PANCREAS: Evaluation of the pancreas limited due to overlying bowel gas.SPLEEN: Measures 12.5 cm.KIDNEYS: Right kidney measures 6.7 cm. Left kidney measures 13.1 cm. Normal echogenicity. Approximately 1.6 x 1.5 x 2.0 cm well-defined anechoic area is consistent with a simple renal cyst in the midpole of the left kidney. No shadowing calculi, hydronephrosis, or worrisome mass. OTHER: No significant abnormality noted.
1. Pneumobilia; benign. This was also present on a CT abdomen dated April 12, 2016. Otherwise, negative exam.