75 years old, Female, Reason: Elevated LFTs History: nausea/vomiting Exam is significantly limited by patient's body habitus.LIVER: The liver measures 12 cm in length. The liver parenchymal echotexture is normal. No focal hepatic lesion identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 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 4 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 8.2 cm in length. RIGHT KIDNEY: Kidney measures 7.9 cm in length. No evidence of hydronephrosis.LEFT KIDNEY: Kidney measures 6.9 cm in length. No evidence of hydronephrosis.OTHER: Trace left pleural effusion.
1.Normal gallbladder and biliary tract with no evidence of cholelithiasis or acute cholecystitis.2.Hepatic parenchymal echotexture is within normal limits.3.Trace left pleural effusion.