Reason: 62 year old female with ALL undergoing treatment recent history of early cholecystitis. Please evaluate for recurrence. History: abdominal pain. LIVER: The liver measures 15.4 cm in length. The liver demonstrates increased parenchymal echogenicity with coarsened echotexture. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.42 m/s.BILIARY TRACT: Single round echogenic nonmobile structure measuring up to 5 mm within gallbladder fundal wall. Gallbladder slightly contracted without definite gallbladder wall thickening. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 5 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 10.3 cm in length. RIGHT KIDNEY: Kidney measures 10.2 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 10.0 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No significant abnormalities noted.
1.Mildly contracted gallbladder without convincing evidence acute cholecystitis. 2.Nonmobile 5 mm echogenic focus along the fundal gallbladder wall. While this may reflect a gallstone, this could also represent a polyp and continued follow-up is recommended (for example with ultrasound in 6 months).3.Echogenic liver suggestive of parenchymal dysfunction/fatty infiltration.