Right upper quadrant pain with nausea and vomiting LIVER: Mildly coarse echotexture again noted. Liver length 19.3 cm. No mass.GALLBLADDER, BILIARY TRACT: Gallbladder sludge and stones without acute inflammation or ductal dilatation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 11.1 cm in lengthOTHER: Left kidney 13 cm in length. Spleen 13.6 cm in length.
Gallbladder sludge and stones without acute inflammation or ductal dilatation. Hepatomegaly with coarse echotexture suggestive for fatty infiltration again noted. No ascites.