Female 51 years old Reason: Eval for gallstones History: Stones seen on bedside US, RUQ pain LIVER: Liver measures 18.4 cm. Mildly hyperechoic echogenicity of the liver parenchyma, which is nonspecific but may be seen in fatty infiltration or diffuse hepatic dysfunction.BILIARY TRACT: Shadowing gallstones at the neck of the gallbladder. Pericholecystic fluid, thickened gallbladder wall, and positive Murphy's sign. PANCREAS: The visualized portion of the pancreas are normal in appearance.SPLEEN: Spleen is normal in appearance measuring 8.5 cm.KIDNEYS: Normal cortical echogenicity bilaterally. No hydronephrosis or shadowing calculi. Right kidney measures 11.1 cm. Left kidney measures 12.8 cm.OTHER: No significant abnormalities noted.
Findings most consistent with acute cholecystitis. Discussed with ordering physician Dr. Bradley and ER physician Dr. Ward at approximately 1425 on 10/21/2016.