Male 26 years old Reason: epigastric abdominal pain; family history of gallstones History: epigastric abdominal pain; nausea LIVER: Liver is normal in appearance measuring 15.3 cm. No hepatic mass. Main portal vein is patent with a peak velocity of 33.7 cm/s.BILIARY TRACT: No intra or extrahepatic biliary ductal dilatation. Common bile duct measures up to 3 mm. No gallstones are present within the gallbladder. Gallbladder wall is upper limits of normal measuring 3 mm in thickness, likely secondary to underdistention.PANCREAS: Pancreas obscured by overlying bowel gas.SPLEEN: Spleen is normal in appearance measuring 12.1 cm.KIDNEYS: Normal cortical medullary differentiation. No hydronephrosis, shadowing calculi, or mass. Left kidney measures 12.2 cm in length. Right kidney measures 10.7 cm in length. OTHER: No significant abnormalities noted.
No evidence of cholelithiasis or cholecystitis as clinically questioned. No specific findings to account for the patient's pain.