Female 76 years old Reason: r/o problem with the gallstones History: abd pain with nausea. CT in the past showed gallstones. her pain is mid abd LIVER: Questionable nodular contour of the liver, which may indicate hepatic disease. No focal hepatic mass. Liver measures 18.1 cm. Main portal vein is patent with normal directional flow and peak velocity of 16.5 cm/s.BILIARY TRACT: No intra or extrahepatic biliary ductal dilatation. Gallstones are present within the gallbladder. No evidence of acute inflammation. Common bile duct measures 2 mm.PANCREAS: Head of the pancreas is normal in appearance without pancreatic ductal dilatation. Body and tail of the pancreas are obscured by overlying bowel gas. .SPLEEN: Spleen is normal in appearance measuring 10.2 cm.KIDNEYS: Normal cortical medullary differentiation. No hydronephrosis, shadowing calculi, or mass. Right kidney measures 10.3 cm. Left kidney measures 10.3 cm.OTHER: No significant abnormalities noted.
1.Cholelithiasis without evidence of acute cholecystitis. 2.Questionable nodular contour of the liver, which may indicate chronic hepatic disease. Recommend correlation with lab values.