Female 80 years old Reason: acute cholecystitis History: right upper quandrant pain; nausea/vomiting LIVER: Liver echogenicity is within normal limits. Liver measures 13.8 cm. No focal hepatic mass. Vein portal vein is patent with peak velocity of 21.1 cm/s.BILIARY TRACT: Patient is status post cholecystectomy. No gallbladder is visualized. No intra or extra hepatic biliary ductal dilatation. Common bile duct measures 3 mm.PANCREAS: Head of the pancreas is normal in appearance without pancreatic ductal dilatation. Body and tail of the pancreas are obscured by overlying bowel gas.SPLEEN: Spleen is normal in appearance measuring 9.3 cm. KIDNEYS: Normal cortical medullary differentiation. No hydronephrosis, shadowing calculi, or mass. Left kidney measures 10.1 cm. Right kidney measures 11 cm.OTHER: No ascites.
No biliary or hepatic abnormality.