Epigastric pain LIVER: Mildly coarse echogenic liver echotexture again noted without mass. Liver length 15.6 cm. Limited Doppler interrogation of the main portal vein demonstrates a patent main portal vein with normal directional flow.BILIARY TRACT: Diffuse gallbladder wall thickening with stable subcentimeter gallbladder polyps noted. Cholelithiasis and sludge. No Murphy's sign. No ductal dilatation.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. 10 cm in lengthRIGHT KIDNEY: Stable renal cyst. Right kidney 11.2 cm in lengthOTHER: Left kidney 10.6 cm in length.
Diffuse gallbladder wall thickening with subcentimeter gallbladder polyps noted associated with cholelithiasis and sludge. Negative Murphy's sign. Findings suggestive for chronic inflammation. No ductal dilatation.Mildly coarse and echogenic liver echotexture suggestive for chronic liver disease/parenchymal dysfunction without mass.