Female 87 years old Reason: RUQ u/s to eval for liver dysfunction History: elevated LFTs LIVER: Liver is nonspecific and unchanged, mildly increased echogenicity. Liver measures 19.3 cm in length. No focal mass. There is a shadowing focus in the right liver parenchyma. However there is no intrahepatic biliary ductal dilatation, suggesting this may represent a parenchymal calcification rather than a stone in the bile duct. Main portal vein is patent with normal directional flow and peak velocity of 32 cm/s.BILIARY TRACT: Gallbladder is filled with sludge and shadowing stones. Common duct is within normal limits for age measuring 7 mm. No intra or extrahepatic biliary ductal dilatation.PANCREAS: Visualized portions of the pancreas are unremarkable.SPLEEN: Spleen is normal in appearance measuring 9.7 cm.RIGHT KIDNEY: Normal cortical medullary differentiation. No hydronephrosis, shadowing calculi, or mass. Right kidney measures 9.7 cm. Left kidney measures 10.6 cm. OTHER: No significant abnormalities noted.
1.Gallbladder is filled with sludge and small stones. No intra or extrahepatic biliary ductal dilatation.2.Unchanged nonspecific mildly increased echogenicity of the liver.