Reason: Patient with bilious emesis and RUQ pain, assess liver and biliary system LIVER: The liver measures 16.9 cm in length. The hepatic parenchymal echotexture and echogenicity is normal. There are no focal masses. There is no biliary ductal dilatation. The main portal vein is patent with normal directional hepatopedal flow and waveform, peak velocity 29.3 cm/s.BILIARY TRACT: The gallbladder appears normal. There is no cholelithiasis. The common bile duct measures 5 mm. The common hepatic duct measures 3 mm. The gallbladder wall measures 2 mm.PANCREAS: No significant abnormalities noted.SPLEEN: The spleen measures 9.6 cm in length.RIGHT KIDNEY: The right kidney measures 10.3 cm in length. No hydronephrosis, shadowing stones, or focal masses.LEFT KIDNEY: The left kidney measures 10.3 cm in length. No hydronephrosis, shadowing stones, or focal masses. OTHER: No significant abnormalities noted.
Negative exam.