65 years old, Female, Reason: RUQ US for ?cholelithiasis History: RUQ pain LIVER: The liver measures 17.3 cm in length. Increased echogenicity of the liver is consistent with fatty infiltration. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 5 mm in diameter.PANCREAS: Pancreas is not well visualized in this examination due to overlying bowel gas. No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 9.6 cm in length. RIGHT KIDNEY: Kidney measures 11.6 cm in length. Normal echotexture. Nohydronephrosis or shadowing calculusLEFT KIDNEY: Kidney measures 12.6 cm in length. Normal echotexture. Nohydronephrosis or shadowing calculusOTHER: No significant abnormalities noted.
1.Normal gallbladder and biliary tract with no evidence of cholelithiasis or cholecystitis.2.Increased echogenicity of the hepatic parenchyma compatible with fatty infiltration.