41 year old female with right upper quadrant and epigastric pain. LIVER: The liver is minimally coarse in echogenicity. There is normal hepatopetal portal venous blood flow at 20 cm/sec. The common bile duct is normal in caliber at the porta hepatis, measuring 2.5 mm. The liver is normal in size, measuring 16.6 cm in the craniocaudal dimension.BILIARY TRACT: The common bile duct at the level of the pancreas is normal in caliber, measuring 3 mm. A normally distended gallbladder is present with no wall thickening, pericholecystic fluid, focal tenderness or cholelithiasis.PANCREAS: The partially visualized pancreatic head is unremarkable. The remaining pancreas is obscured by overlying bowel gas shadowing.SPLEEN: The poorly visualized spleen measures 7.7 cm in length, within normal limits.RIGHT KIDNEY: The right kidney measures 9.7 cm in length without hydronephrosis, shadowing calculus or discrete lesion. Color Doppler demonstrates hilar blood flow. OTHER: The left kidney measures 9.9 cm in length without hydronephrosis or other discrete abnormality.
No specific findings to account for the patient's right upper quadrant pain.