Reason: Evaluate for choledocholithiasis, cholecystitis History: hyperbilirubinemia Examination limited by patient body habitus.LIVER: The liver measures 19.9 cm in length. Mildly increased parenchymal echogenicity is suggestive of fatty infiltration/parenchymal dysfunction. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.43 m/s.BILIARY TRACT: The gallbladder is contracted with diffuse gallbladder wall thickening measuring up to 6 mm. Debris/sludge is present within the gallbladder lumen. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 5 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: Not visualized.RIGHT KIDNEY: Kidney measures 13.0 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Not visualized.OTHER: No significant abnormalities noted.
1.Limited exam.2.Hepatomegaly. Diffusely coarse and echogenic liver, compatible with fatty infiltration/parenchymal dysfunction.3.Contracted gallbladder which contains sludge. No biliary duct dilatation.