39-year-old female complains of right upper quadrant pain. LIVER:The liver measures 15.5 cm. There is normal echogenicity of the parenchyma. No masses, ascites, or intrahepatic ductal dilatation. The portal vein is patent with normal hepatopedal flow.GALLBLADDER, BILIARY TRACT: There is an approximately 1.7 x 0.6 cm hyperechoic, dependent, shadowing foci in the gallbladder that is consistent with a gallbladder stone. No sludge or debris is seen. The gallbladder wall measures approximately 0.1 cm. There is a negative sonographic Murphy's sign. No pericholecystic fluid. The common bile duct measures approximately 0.2 cm.PANCREAS: Evaluation appears limited due to overlying bowel gas, however the visualized portions appear normal.SPLEEN: The spleen measures approximately 10.5 cm. No abnormalities noted.KIDNEYS: The right kidney measures approximately 11.9 cm. The cortex has normal echogenicity. No shadowing calculi, concerning mass, or hydronephrosis. The left kidney measures approximately 10.4 cm. The cortex has normal echogenicity. No shadowing calculi, concerning mass, or hydronephrosis.OTHER: No significant abnormality noted.
1. Cholelithiasis as described above without signs of acute inflammation or ductal dilatation.