Right upper quadrant pain, concern for cholecystitis versus appendicitis also with AKI, rule out hydronephrosis LIVER:Liver measures 12.9 cm demonstrates increased parenchymal echogenicity. Focal hypoechoic area adjacent to the gallbladder fossa is consistent with focal fatty sparing. Main portal vein demonstrates normal flow directionality and patency. No focal suspicious lesions noted. No intrahepatic biliary ductal dilatation.Minimal amount of ascites noted.GALLBLADDER, BILIARY TRACT: Gallbladder is well-distended with normal gallbladder wall thickness. No gallstones noted. Common bile duct measures within normal limits. No evidence of peri- cholecystic fluid.PANCREAS: Not well visualized due to overlying bowel gas.SPLEEN: No significant abnormality noted. Spleen measures 8.2 cmKIDNEYS: Right kidney measures 10.4 cm and left kidney measures 11.4 cm. No hydronephrosis. Normal echotexture. Simple cyst in the mid to lower pole of the left kidney appears unchanged from prior examination. ABDOMINAL AORTA: Proximal abdominal aorta measures 2.3 x 2.3 cm. Mid aorta measures 2.3 x 11.9 cm and the distal abdominal aorta measures 2.5 x 2.4 cm, within normal limits. No evidence of aneurysmal dilatation.INFERIOR VENA CAVA: PatentOTHER: Partially distended bladder within normal limits.
Findings consistent with hepatic steatosis.Simple left renal cyst unchanged.No evidence of gallstones.Normal echotexture of the kidneys without hydronephrosis.Mild ascites.