Female 40 years old; Reason: r/o cholecystitis History: RUQ pain worse w food intake LIVER: The liver measures 18.3 cm in length. There is normal echogenicity of the liver parenchyma. No focal hepatic lesions. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow measured at 15.1 cm/s. GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 1.2 mm. No stones are seen. No pericholecystic fluid. Negative sonographic Murphy sign. The common bile duct measures 1.9 mm in diameter. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 8.0 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 11.1 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 10.0 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.
1. No evidence of cholelithiasis or acute cholecystitis.2. Mild hepatomegaly, no worrisome masses or intrahepatic ductal dilation are seen.