Female; 38 years old. Reason: cholecystitis? impacted stone? History: RUQ pain, prior stones, ++tender/vomiting LIVER: The liver measures 18.8 cm in length. The liver surface is smooth. The parenchyma is mildly increased in echogenicity appearing similar to the prior study. No worrisome liver mass identified. The main portal vein is patent and demonstrates hepatopetal flow with a peak velocity of 0.3 m/sec.BILIARY TRACT: Cholelithiasis seen dependently within the gallbladder, measuring up to 6 x 5 mm. There is no gallbladder wall thickening or pericholecystic fluid. There is no intrahepatic biliary ductal dilatation. The common duct measures up to 6 mm in diameter.PANCREAS: The body of the pancreas is unremarkable. The head and tail are obscured by overlying bowel gas.SPLEEN: The spleen measures 9.8 cm in length and contains a 1.6 x 1.4 x 1.6 cm cyst with a fine septation, new from the prior CT.RIGHT KIDNEY: The right kidney measures 11.2 cm in length. The renal cortex is mildly increased in echogenicity. There is no hydronephrosis or shadowing renal stone.LEFT KIDNEY: Left kidney measures 12.1 cm in length. The renal cortex is mildly increased in echogenicity. There is no hydronephrosis or shadowing renal stone.
1.Hepatomegaly and hepatic steatosis. 2.Cholelithiasis without evidence of acute cholecystitis. No biliary ductal dilatation..3.Echogenic kidneys compatible with medical renal disease.4.Minimally complex splenic cyst is new compared to the prior study, correlation with patient's clinical history recommended. 