Pregnant patient with right upper quadrant pain. The study is slightly limited due to poor soft tissue penetration.LIVER: The liver is normal in size measuring 15.2 cm in length. It is mildly coarse and increased in echogenicity. Normal hepatopedal portal venous blood flow at 0.3 m/s.Shadowing gallstones in a contracted gallbladder. No wall thickening, pericholecystic fluid or focal tenderness.BILIARY TRACT: No biliary ductal dilatation with the common duct measuring 3 mm. Shadowing gallstones in a contracted gallbladder. No wall thickening, pericholecystic fluid or focal tenderness.PANCREAS: The very poorly seen pancreas shows no significant abnormality.SPLEEN: The spleen is normal in size and appearance measuring 10.7 cm.RIGHT KIDNEY: The right kidney is normal in size measuring 12 cm in length. There is mild pelviectasis which persists after the patient voided. OTHER: The left kidney is normal in size measuring 11 cm in length without hydronephrosis or shadowing of lithiasis.
1. Mild right-sided renal pelviectasis which persisted after the patient voided. This may be physiologic in the gravid state. 2. Cholelithiasis without evidence of acute gallbladder inflammation.3. Mildly coarse and echogenic liver parenchyma may reflect fatty infiltration.