54-year-old male with right upper quadrant pain, evaluate for cholelithiasis. LIVER: The liver measures 18 cm in length. Mildly increased hepatic echogenicity without discrete focal lesion.GALLBLADDER, BILIARY TRACT: Numerous shadowing gallstones. The gallbladder is partially collapsed. There is no gallbladder wall thickening, pericholecystic fluid, or sonographic Murphy sign. No biliary ductal dilation.PANCREAS: Evaluation of the pancreas is limited due to bowel gas and shadowing from gallstones.KIDNEY: No significant abnormalities noted.OTHER: No significant abnormalities noted.
1.Cholelithiasis without specific evidence of acute cholecystitis.2.Increased hepatic echogenicity consistent with hepatic steatosis or parenchymal disease.