Male; 69 years old. Reason: neutropenic fever abdominal pain please r/o infection LIVER: Liver is 18.3-cm in length. Normal parenchymal echotexture. Minimally complex, predominantly anechoic cystic lesion in the right hepatic lobe measures 3.4 x 2.2 x 2.8 cm with a similar but smaller cystic lesion in the left hepatic lobe, as seen on preceding CT and for which benign etiology is favored. No intrahepatic biliary ductal dilation. Main portal vein is patent with normal directional flow.GALLBLADDER, BILIARY TRACT: Gallbladder is filled with numerous shadowing calculi. No definite gallbladder wall thickening, though evaluation is limited due to the cholelithiasis. No pericholecystic fluid, gallbladder fossa hepatic parenchymal hyperemia, or sonographic Murphy's sign to suggest acute cholecystitis. Normal caliber of the common bile duct measuring 4 mm.PANCREAS: Limited images of the pancreatic head are within normal limits. The remainder of the pancreas obscured by overlying bowel gas.RIGHT KIDNEY: Stable appearance of both kidneys since prior renal ultrasound with the right kidney measuring up to 12.4-cm and a septated cyst seen in the upper pole as well as additional smaller cysts.OTHER: Spleen measures 12.8-cm in length. No focal splenic lesions.
1. Cholelithiasis without evidence of acute cholecystitis.2. No findings to explain the patient's symptoms.