Right upper abdominal pain LIVER: Non-cirrhotic liver morphology. Hepatomegaly, measuring 20 cm. Increased parenchymal echogenicity. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Numerous subcentimeter gallstones noted. No specific signs of acute cholecystitis.PANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas. The previously described peripancreatic lymph node is not visualized.KIDNEYS: The right kidney is 10.1 cm in length. The left kidney is 11.7 cm in length. No suspicious renal lesions are evident. No hydronephrosis is seen.SPLEEN: 7.3 cm in length, without focal lesions evident.OTHER: No significant abnormalities noted. No abdominal free fluid is identified.
1. Cholelithiasis without specific evidence of cholecystitis.2. Increased liver echogenicity, compatible with steatosis.