32-year-old female patient with four days of nausea/vomiting, complicating pregnancy at 30 weeks. Evaluate for gallstones. LIVER: The liver measures 16.5 cm in length. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: There are small layering gallstones near the gallbladder neck though no gallbladder wall thickening or pericholecystic fluid. Sonographic Murphy's sign is negative. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 5 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 10.3 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 11.7 cm in length. No evidence of hydronephrosis.The spleen measures 12.8 cm in length.
Cholelithiasis without sonographic evidence of acute cholecystitis. 