Right upper quadrant pain and tenderness. LIVER: Non-cirrhotic liver morphology. Normal parenchymal echogenicity. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No intrahepatic biliary ductal dilation. Subcentimeter gallstones identified. Mild dilation of the common bile duct up to 8 mm, previously 7 mm. No choledocholithiasis evident. No gallbladder wall thickening, pericholecystic fluid, or sonographic Murphy sign.PANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 11.5 cm in length. The left kidney is 11.3 cm in length. No suspicious renal lesions are evident. No hydronephrosis is present.SPLEEN: 11.9 cm in length, without focal lesions evident.OTHER: No significant abnormalities noted. No abdominal free fluid identified.
1. Cholelithiasis without evidence of cholecystitis.2. Mild dilation of the common bile duct, also seen on 10/12/2015 when patient presented with similar symptoms. Correlation for obstructive pattern of liver function tests and possibly MRCP may be considered.