46 year old female patient with right upper abdominal discomfort. Evaluate for gallstones. LIVER: The liver measures 15.7 cm in length. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: There is a single gallstone at the gallbladder neck. There is no significant pericholecystic fluid or gallbladder wall thickening. No intra- or extrahepatic biliary ductal dilatation is identified. Sonographic Murphy's sign is negative. The common duct measures 2 mm in diameter.PANCREAS: The pancreas is not visualized secondary to overlying bowel gas.RIGHT KIDNEY: The right kidney measures 10.5 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 10.9 cm in length. No evidence of hydronephrosis.The spleen measures 9.6 cm in length.
Cholelithiasis without sonographic evidence of acute cholecystitis. If clinical concern for cholecystitis continues, a HIDA scan may be considered for further evaluation. 