Abdominal pain and nausea. Evaluate for cholecystitis. LIVER: Non-cirrhotic liver morphology. Increased parenchymal echogenicity. 16.4 cm in length. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Distended gallbladder, without stones, wall thickening, or pericholecystic fluid. No sonographic Murphy's sign.PANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 10.9 cm in length. The left kidney is 12.1 cm in length. The renal parenchymal echogenicity is increased bilaterally. No suspicious renal lesions are evident. No hydronephrosis is present.SPLEEN: 9.7 cm in length, without focal lesions evident.OTHER: No significant abnormalities noted. No significant upper abdominal free fluid is identified.
1. No evidence of cholecystitis.2. Increased hepatic echogenicity, compatible with parenchymal dysfunction.3. Echogenic renal parenchyma without hydronephrosis, compatible with medical renal disease.