Reason: Looking for an explanation of this woman's epigastric and left upper abdominal pain that radiates into her back. History: 31 year old woman with recent onset of a dull pain in the epigastrium and left upper quadrant pain that radiates into her back. EGD yesterday gave no explanation. Pancreatic enzymes were normal. LIVER: The liver measures 15.8 cm in length. The liver parenchymal echotexture is normal. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.35 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 2 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 10.1 cm in length. RIGHT KIDNEY: Kidney measures 10.4 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 10.1 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No significant abnormalities noted.
No evidence of acute cholecystitis or other specific findings to account for the patient's symptoms.