25 year-old female with right upper quadrant pain, nausea, and vomiting. Evaluate for cholelithiasis versus cholecystitis versus liver abnormality. LIVER: The liver is homogeneous in echotexture and measures 15 cm in length. No focal hepatic lesions. Main portal vein is patent with hepatopedal flow and peak velocity of 0.3 m/sec.BILIARY TRACT: No cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. Common bile duct measures 0.3 cm in diameter. No intra-or extrahepatic biliary ductal dilatation. Sonographic negative Murphy's sign.PANCREAS: No significant abnormalities noted.SPLEEN: The spleen is homogeneous in echotexture and measures 8.2 cm in length. No focal splenic lesions.RIGHT AND LEFT KIDNEY: Right kidney is homogeneous in echotexture and measures 10 cm in length. Left kidney is normal in echotexture and measures 10 cm in length. No hydronephrosis bilaterally.OTHER: No significant abnormalities noted.
1.No evidence of cholelithiasis or specific findings to suggest cholecystitis. 2.Liver is normal in echotexture and size without evidence of focal hepatic lesions.