Abdominal pain and mild lipase elevation. LIVER: The liver is mildly coarse and echogenic without a focal abnormality. No intrahepatic biliary ductal dilatation. It measures 14.5 cm in length. Normal hepatopedal portal venous blood flow at 26.7 cm/s.BILIARY TRACT: No extrahepatic biliary ductal dilatation with the common duct measuring 4 mm. Normally distended gallbladder without gallstones wall thickening, pericholecystic fluid or focal tenderness.PANCREAS: The visualized pancreatic body and head are unremarkable. The remainder of the pancreas is obscured by overlying bowel gas shadowing.SPLEEN: The spleen measures 8.4 cm without a focal abnormality.RIGHT KIDNEY: The right kidney measures 10.7 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion. OTHER: The left kidney measures 10.8 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion.
Mildly coarse echogenic liver parenchyma may represent fatty infiltration and/or parenchymal dysfunction without a focal abnormality. The visualized pancreatic body and head are unremarkable. No gallstones or biliary ductal dilatation.