Male 67 years old Reason: r/o acalculous cholecystitis History: sepsis, abdominal discomfort, c/f gallbladder dilation on CT abdomen LIVER: Increased echogenicity of the liver compatible with fatty infiltration. Liver is enlarged. Liver measures 18.6 cm.BILIARY TRACT: Gallbladder is significantly distended. There is gallbladder wall thickening. Sludge is present within the gallbladder. These findings are compatible with acute cholecystitis. No evidence of intra or extrahepatic biliary dilatation.PANCREAS: Not well visualized due to overlying bowel gas.SPLEEN: No significant abnormalities noted.RIGHT KIDNEY: 2 x 2.4 cm hypoechoic lesion within the left kidney. This study is limited for optimal evaluation of this lesion. Right kidney is unremarkable measuring 11.9 cm. Left kidney measures 12.3 cm. OTHER: No significant abnormalities noted.
Sonographic findings compatible with acute cholecystitis. Diffuse fatty infiltration of the liver. Hepatomegaly. Left renal cyst.Dr. Wali was notified and acknowledged about the above findings at the time of dictation.