24-year-old male with VP shunt internalized to gallbladder. Right upper quadrant abdominal pain. LIVER: Normal echogenicity of the liver measuring 16.6 cm in length. No focal hepatic lesions. Main portal vein is patent with appropriate directional flow; peak velocity measures is 0.5 m/sec.GALLBLADDER, BILIARY TRACT: Partially visualized VP shunt with tip internalized within the gallbladder. No gallbladder wall thickening. No pericholecystic fluid. Common duct measures 3 mm in caliber. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Not well visualized due to overlying bowel gas.RIGHT KIDNEY: Atrophic measuring 9.2 cm in length. Several shadowing stones are present at the inferior pole, largest of which measures 1.3 cm in length. No hydronephrosis is noted.OTHER: Normal echogenicity of the spleen measuring 10.2 cm in length.Left kidney is not visualized. Incompletely visualized right pleural effusion.Trace ascites.
1. VP shunt internalized into the gallbladder with no surrounding inflammatory changes. 2. Atrophic right kidney with nephrolithiasis. No hydronephrosis. 3. Trace ascites and incompletely visualized right pleural effusion. 