46-year-old female with recurrent abdominal pain after meals, history of gallstones. Evaluate for biliary obstruction. LIVER: Normal echogenicity of the liver measuring 17.4 cm in length. No focal hepatic lesions. Portal vein is patent with appropriate hepatopetal; peak velocity measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: Multiple shadowing stones within the gallbladder. No pericholecystic fluid. No gallbladder wall thickening. Sonographic Murphy's sign is negative. Common duct measures 4 mm in caliber. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Visualized portions of the pancreas are unremarkable.RIGHT KIDNEY: Measures 12.4 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Left kidney measures 10.9 cm in length. No hydronephrosis or shadowing calculi are noted.Normal echogenicity of the spleen measuring 9.8 cm in length.
Cholelithiasis without evidence of cholecystitis.