Reason: CT scan findings or gallstones/need to evaluate History: abdominal pain LIVER:The hepatic parenchyma appears normal in echogenicity and echotexture. No focal lesions are identified.GALLBLADDER, BILIARY TRACT: The gallbladder is mildly distended. There is a small amount of layering sludge. No shadowing gallstones are identified. Common bile duct distally measures up to 7 mm in diameter, within normal limits given patient's age. There is no gallbladder wall thickening or pericholecystic fluid. The gallbladder wall measures 2 mm. Per ultrasound technologist, sonographic Murphy's sign was negative.PANCREAS: Obscured by bowel gas.SPLEEN: No significant abnormality noted.KIDNEYS: The left kidney measures 18.9 cm in length. The right kidney measures 11.4 cm in length. A simple anechoic cyst in the upper pole the right kidney measures 3.7 x 3.7 x 3.6 cm. A simple anechoic cyst in the lower pole of the left kidney measures 2.3 x 1.5 x 1.7 cm. Mildly increased renal cortical echogenicity. There is no hydronephrosis. No shadowing stones or masses.OTHER: No significant abnormality noted.
1. Gallbladder sludge without acute inflammation. 2. Mildly increased renal cortical echogenicity, may reflect underlying medical renal disease.