93-year-old female with right upper quadrant pain and elevated transaminases. LIVER: There is normal in size and echotexture. No focal hepatic abnormality except for small cyst adjacent to the gallbladder fossa. Limited spectral and color Doppler demonstrates patency and appropriate flow direction in the main portal vein.BILIARY TRACT: Patient was unable to turn for this exam. The gallbladder appears unremarkable without cholelithiasis, wall thickening or pericholecystic fluid. The very tract is normal in caliber.PANCREAS: The head and body are adequately visualized. Small cystic area in the head as previously noted.. The tail was not well seen.SPLEEN: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. OTHER: Moderate right pleural effusion.
Normal gallbladder and supine position.Right pleural effusion.