Elevated LFTs and sepsis LIVER: Mildly heterogeneous liver echotexture without mass. Liver length 19.5 cm.GALLBLADDER, BILIARY TRACT: Cholelithiasis with mild diffuse wall thickening and mild pericholecystic fluid. No ductal dilatation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 10 cm in lengthOTHER: Left kidney 10.2 cm in length. Spleen 9.8 cm in length. No ascites.
Mildly heterogeneous liver echotexture suggestive for fatty infiltration/parenchymal dysfunction without mass or ductal dilatation. No ascites.Cholelithiasis with gallbladder wall thickening and pericholecystic fluid raises the possibility of acute cholecystitis. A Murphy's sign could not be assessed due to the patient's inability to cooperate.