Right upper quadrant pain, pancreatitis. LIVER: The liver measures 20.7 cm in length. The liver parenchymal echotexture is heterogeneous with increased echogenicity. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.25 m/s.BILIARY TRACT: Numerous shadowing gallstones are present within the gallbladder. There is no definite gallbladder wall thickening or pericholecystic fluid. There is a shadowing stone within the common hepatic duct with upstream dilatation of the common duct measuring up to 2 cm. There is also mild intrahepatic biliary ductal dilatation.PANCREAS: The pancreas is largely obscured by overlying bowel gas, however, the imaged pancreatic parenchyma is somewhat hypoechoic and heterogeneous suggestive of pancreatitis. The pancreatic duct is mildly prominent measuring up to 4 mm.SPLEEN: No significant abnormalities noted. The spleen measures 9.9 cm in length. RIGHT KIDNEY: Kidney measures 12.4 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 13.5 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted.
1.Choledocholithiasis with associated biliary ductal dilatation.2.Findings suggestive of pancreatitis. Mild prominence of pancreatic duct.3.Cholelithiasis without sonographic evidence of cholecystitis.4.Hepatomegaly and probable hepatic steatosis.Findings were relayed by on call radiology resident to emergency department staff via stat consult system at 10:54 AM on 11/29/2015.