Reason: Evaluate for cholecystitis History: Right upper quadrant abdominal pain and elevated LFTs LIVER: The liver measures 16.2 cm in length. Mildly echogenic hepatic parenchyma. The portal vein is patent with normal directional hepatopedal portal venous blood flow, peak velocity 34.5 cm/s.GALLBLADDER, BILIARY TRACT: Multiple echogenic stones in the dependent aspect of the gallbladder. No evidence of acute pericholecystic inflammation. The gallbladder wall measures 0.2 cm. The common bile duct measures 0.3 cm. No biliary ductal dilatation. Negative sonographic Murphy's sign.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: The right kidney measures 9.8 cm in length. Normal echogenicity and echotexture. No hydronephrosis or shadowing stones.LEFT KIDNEY: The left kidney measures 10.6 cm in length. Normal echogenicity and echotexture. No hydronephrosis or shadowing stones.OTHER: The spleen measures 9.8 cm in length.
1. Cholelithiasis without evidence of acute inflammation or biliary ductal dilatation.2. Mildly echogenic liver, compatible with hepatic steatosis or parenchymal dysfunction.