32-year-old female with right upper quadrant pain and nausea. History of lung cancer and prior liver metastases. LIVER: The liver parenchyma is moderately coarsened and hyperechogenic. It is normal in length, measuring 14.8 cm in length. No intrahepatic biliary ductal dilatation or focal hepatic lesion is identified. Normal hepatopetal portal venous blood flow at 22 cm/sec.BILIARY TRACT: No biliary ductal dilatation with the common bile duct measuring 4 to 5 mm. A normally distended gallbladder is seen without gallstones, wall thickening, pericholecystic fluid, or focal tenderness.PANCREAS: The suboptimally visualized pancreatic body and head are unremarkable.SPLEEN: The spleen measures 10.5 cm in length without a discrete focal abnormality.RIGHT KIDNEY: The right kidney measures 10.9 cm in length without hydronephrosis or shadowing calculus. Color Doppler demonstrates hilar blood flow. OTHER: There is a small right pleural effusion. The left kidney is suboptimally visualized without hydronephrosis. It measures approximately 8.3 cm in length.There is trace ascites in the right upper quadrant.
1. Findings suggesting diffuse fatty infiltration and/or parenchymal hepatic dysfunction.2. No specific findings to account for the patient's right upper quadrant pain.2. Trace ascites and a small right pleural effusion.