29-year-old male patient with incidental finding on ultrasound from outside hospital ER after car accident. Evaluate hepatobiliary tree. LIVER: The liver measures 16.5 cm in length. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: There are gallstones, but no gallbladder wall thickening or pericholecystic fluid. No intra- or extrahepatic biliary ductal dilatation is identified. PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 12.2 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 12.9 cm in length. No evidence of hydronephrosis.The spleen measures 11.9 cm in length.
1. No focal hepatic lesion identified.2. Cholelithiasis without sonographic evidence of acute cholecystitis.