21-year-old female with postprandial pain and nausea/vomiting, evaluate for gallstone disease. LIVER: Normal echogenicity of the liver measuring 14.2 cm in length. No focal hepatic lesion. Main portal vein is patent with appropriate directional flow, however with elevated velocity up to 60 cm/s which is nonspecific on this nondedicated exam.GALLBLADDER, BILIARY TRACT: Gallbladder is normal in echogenicity with no evidence of gallstones. No gallbladder wall thickening. No pericholecystic fluid. Sonographic Murphy's sign is negative. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: The visualized portions of the pancreas are normal in echogenicity with no evidence of pancreatic ductal dilatation.RIGHT KIDNEY: Normal echogenicity of the right kidney measuring 11.6 cm in length. No hydronephrosis.OTHER: Normal echogenicity of the left kidney measuring 11.2 cm in length. No hydronephrosis. Normal echogenicity of the spleen measuring 10.2 cm in length.
1. Elevated main portal vein velocity which is nonspecific on this nondedicated exam. 2. No evidence of cholelithiasis. 