73 year old male with history of cholelithiasis, choledocholithiasis, isolated gastric varices. Evaluate liver vasculature. LIMITED ABDOMENLIVER: Slightly coarse echogenicity of the liver measuring 16.9-cm in length. No focal hepatic lesions.BILIARY TRACT: Gallbladder is contracted containing stones and sludge with mild gallbladder wall thickening. No pericholecystic fluid. Sonographic Murphy's sign is negative. Common bile duct is not well visualized in its entirety, however there is no evidence of biliary ductal dilatation or choledocholithiasis of the visualized portion.PANCREAS: Visualized portions of the pancreas are normal in echogenicity. No pancreatic ductal dilatation.SPLEEN: Normal echogenicity of the spleen measuring 11.47 m in length. RIGHT KIDNEY: Right kidney measures 12.9 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Left kidney measures 14.6 cm in length. No hydronephrosis or shadowing calculi are noted.
1. Slight coarse echogenicity of the liver suggestive of parenchymal distortion/fatty infiltration.2. Common bile duct not well visualized in its entirety, however no evidence of choledocholithiasis or ductal dilatation is noted. 3. Contracted gallbladder containing stones and sludge with mild gallbladder wall thickening. Sonographic Murphy's sign is negative. 4. Patent inflow and outflow hepatic vasculature. 