44 years old, Male, Reason: Status post biliary drain; rule out hematoma gallbladder. History: abdominal pain/tenderness, obstipation, constipation LIVER: The liver measures 15.1 cm in length. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.4 m/s.BILIARY TRACT: Percutaneous cholecystostomy tube is noted with tip in the gallbladder. Echogenic material within the gallbladder appears somewhat more organized than on prior exam and still may represent sludge or hematoma. There is increased pericholecystic echogenic material which may represent pericholecystic fluid or hematoma. The common bile duct measures 5 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 8.5 cm in length. RIGHT KIDNEY: Kidney measures 9.6 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 10.3 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted.
1.Echogenic material within the gallbladder appears somewhat more organized than on prior exam and still may represent sludge or hematoma.2.Increased pericholecystic echogenic material which may represent pericholecystic fluid or hematoma. 3.Stable percutaneous cholecystostomy tube is noted with tip in the gallbladder. 