61-year-old male patient with nausea, weight loss, right upper quadrant pain. Question of cholecystitis, liver disease. LIVER: The liver measures 15.8 cm in length. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: The gallbladder wall is mildly thickened measuring up to 4 mm with comet tail artifact indicative of adenomyomatosis. No gallstones or pericholecystic fluid is identified. Sonographic Murphy's sign is negative. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 3 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 7.9 cm in length and demonstrates increased cortical echogenicity. No evidence of hydronephrosis. A 1 cm cyst is noted within the right upper pole.OTHER: The left kidney measures 9.8 cm in length and demonstrates increased cortical echogenicity. No evidence of hydronephrosis. A subcentimeter left lower pole renal cyst is noted.The spleen measures 9 cm in length.
1. Increased renal cortical echogenicity consistent with medical renal disease/parenchymal dysfunction.2. Bilateral renal cysts.3. Gallbladder adenomyomatosis. 