62-year-old female patient with right upper quadrant pain. Evaluate for gallstones or biliary obstruction. LIVER: The liver measures 19.6 cm in length. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.16 m/sec.GALLBLADDER, BILIARY TRACT: There is biliary sludge, but no gallstones, gallbladder wall thickening, or pericholecystic fluid. 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 12.3 cm in length. There is mild to moderate hydronephrosis. Right hydroureter is partially visualized.OTHER: The left kidney measures 12.6 cm in length. There is mild hydronephrosis.The spleen measures 8.1 cm in length.There is trace ascites.The bladder is decompressed by a Foley catheter.
1. Biliary sludge without sonographic evidence of acute cholecystitis.2. Mild to moderate right and mild left hydronephrosis.3. Trace ascites.