48 male with history of focal gallbladder wall thickening. LIVER: The liver is normal in morphology, echogenicity and size measuring 18 cm in craniocaudal dimension. No intrahepatic biliary ductal dilatation or focal hepatic lesion is evident. The liver capsule is smooth. Normal hepatopetal portal venous blood flow at 15 cm/sec is present. BILIARY TRACT: There is a normally distended gallbladder with normal wall thickness of 2 mm. Note is made of a focal thickening of the gallbladder fundus of approximately 8 mm. There is cholelithiasis but no pericholecystic fluid or focal tenderness. The common bile duct at the level of the pancreatic head is normal in caliber, measuring 4 mm. More proximally it measures 2 mm at the porta hepatis.PANCREAS: The visualized portions of the pancreatic body and head are unremarkable. SPLEEN: The spleen is normal in morphology, echogenicity, and size, measuring 11.5 cm in length.RIGHT KIDNEY: The right kidney measures 9.9 cm without hydronephrosis and contains subcentimeter simple appearing cysts. There are small collecting system foci with twinkle artifact on color Doppler compatible with nonobstructive non-shadowing calculi. OTHER: The left kidney measures 10.6 cm in length without hydronephrosis. Note is made of a 1.3-cm simple appearing parapelvic cyst. Small foci of twinkle artifact on color Doppler are compatible with nonobstructive non-shadowing calculi.Trace ascites.
1. Cholelithiasis without focal tenderness, pericholecystic fluid or diffuse wall thickening.2. Nonspecific gallbladder fundus focal thickening. Re-evaluation in 6 months is recommended to assure stability.3. Probable bilateral nonobstructive non-shadowing calculi.4. Trace ascites.