Right upper quadrant abdominal pain. History of cholecystectomy, per patient. LIVER: Non-cirrhotic liver morphology. Mildly coarsened and increased parenchymal echogenicity. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Status post cholecystectomy.PANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 10.1 cm in length. The left kidney is 10.8 cm in length. No suspicious renal lesions are evident. Echogenic renal parenchyma bilaterally. No hydronephrosis is seen.SPLEEN: 7.7 cm in length, without focal lesions evident.OTHER: No significant abnormalities noted. No significant abdominal free fluid is identified.
1. Mildly increased hepatic echogenicity, compatible with parenchymal dysfunction. No specific findings otherwise to account for the patient's symptoms.2. Echogenic renal parenchyma without hydronephrosis, compatible with medical renal disease.