Reason: r/o pancreatitis, cholecystitis History: elevated lipase Examination limited due to constraints positioning patient as well as bandages.LIVER: The liver measures 20.6 cm in length. The liver is heterogeneous in echotexture which limits sensitivity for focal lesions. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.19 m/s.BILIARY TRACT: The gallbladder is contracted and contains stones and/or sludge. There is gallbladder wall thickening measuring up to 6 mm. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 5.6 mm in diameter.PANCREAS: There is a linear echogenic structure in the pancreatic neck and body compatible with a stent.SPLEEN: No significant abnormalities noted. The spleen measures 11.0 cm in length. RIGHT KIDNEY: Kidney measures 10.8 cm in length. Normal echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 8.9 cm in length. Normal echotexture. No hydronephrosis.OTHER: Ascites.
1.Limited exam.2.Heterogeneous appearance of the liver which is nonspecific. Underlying lesions cannot be excluded, and dedicated contrast-enhanced cross-sectional imaging is recommended for further evaluation when the patient is clinically able.3.Contracted gallbladder with cholelithiasis and gallbladder wall thickening. Chronic cholecystitis is not excluded and could be further evaluated with HIDA scan if clinically indicated. 4.Ascites.