Obstructive jaundice of unknown etiology. LIVER: Diffusely heterogeneous echogenic liver. Normal hepatopedal flow.GALLBLADDER, BILIARY TRACT: Intrahepatic biliary ductal dilatation is better appreciated on MRCP from same date. Dilated proximal common hepatic duct, measuring 12 mm. Borderline enlarged distal common bile duct, measuring 6 mm. Numerous hyperechoic stones are noted in the gallbladder body and neck, with single stone in the gallbladder neck measuring 1.5 cm. The gallbladder is distended and partially filled with sludge, however there is no evidence of wall thickening or pericholecystic fluid.PANCREAS: No significant abnormalities noted. Not well visualized.RIGHT KIDNEY: Numerous bilateral hypoechoic renal lesions likely represent benign cysts, measuring up to 3.3 cm.OTHER: No significant abnormalities noted.
1. Intra and extrahepatic biliary ductal dilation, raising concern for distal obstructive process. When correlated with MRCP, again no stones within the common bile duct are identified.2. Cholelithiasis with gallbladder distention, without evidence of cholecystitis.2. Diffusely echogenic liver, consistent with hepatic steatosis.