Reason: elevated liver enzymes LIVER: The liver measures 15.7 cm in length. Unremarkable hepatic parenchymal echogenicity. The main portal vein is patent with normal directional hepatopedal flow, peak velocity 28.1 cm/s. No focal mass.GALLBLADDER, BILIARY TRACT: There are several echogenic, shadowing stones in the neck of the gallbladder. No evidence of pericholecystic inflammation or fluid. Common bile duct measures 3.6 mm. The gallbladder wall measures 2.7 mm. No intrahepatic or extrahepatic biliary ductal dilatation.PANCREAS: Poorly visualized due to overlying bowel gas.RIGHT KIDNEY: The right kidney measures 9.7 cm in length. The left kidney measures 9.47 m in length. No hydronephrosis or shadowing renal calculi.OTHER: The spleen measures 12.6 cm in length, at the upper limit of normal.
1. Cholelithiasis without evidence of acute inflammation or cholecystitis.