Bedside ultrasound with stones and wall thickening. LIVER: Non-cirrhotic liver morphology. 19.3 cm in length. Increased parenchymal echogenicity. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Multiple subcentimeter gallstones noted. Markedly gallbladder wall thickening, measuring up to 14 mm in thickness. No significant pericholecystic fluid collection is identified. No definite sonographic Murphy's sign was elicited.PANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 9.7 cm in length. The left kidney is 11.0 cm in length. No suspicious renal lesions are evident. No hydronephrosis is present.SPLEEN: 8.6 cm in length, without focal lesions evident.OTHER: No significant abnormalities noted. No significant upper abdominal free fluid is noted.
1. Cholelithiasis with marked gallbladder wall thickening suspicious for cholecystitis.2. Increased hepatic echogenicity, compatible with parenchymal dysfunction.