25-year-old female complains of abdominal pain. Evaluate for cholelithiasis. LIVER:The liver measures 16.1 cm. Liver parenchyma has normal echogenicity. No focal masses, ascites, or intrahepatic biliary dilation. The portal vein is patent with normal hepatopedal flow.GALLBLADDER, BILIARY TRACT: Echogenic foci within the lumen of the gallbladder shadow the posterior wall. The wall measures 0.3 cm. No pericholecystic fluid. The common duct measures 0.3 cm. Unable to determine whether gallbladder is distended due to heavy shadows from echogenic foci within the lumen. Negative sonographic Murphy's.PANCREAS: Evaluation limited due to overlying bowel gas and shadows from the gallbladder.SPLEEN: Measures 8.9 cm without sonographic abnormalities.KIDNEYS: Right kidney measures 10.2 cm. Left kidney measures 10.3 cm. The cortices have normal echogenicity. No shadowing calculi, hydronephrosis, or focal mass.OTHER: No significant abnormality noted.
1. Echogenic foci within the lumen of the gallbladder consistent with cholelithiasis. No evidence of acute inflammation. No ductal dilation. Pancreas unable to be fully visualized on this study as above.