39-year-old with right upper quadrant pain and nausea. LIVER: The liver measures 17.6 cm in length. The liver parenchymal echotexture is normal. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.5 m/s.BILIARY TRACT: Numerous small mobile stones are present within the gallbladder. The gallbladder wall is mildly thickened measuring up to 4 mm. There is tenderness over the gallbladder. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 3.5 mm in diameterPANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted.The spleen measures 9.7 cm in length. RIGHT KIDNEY: Kidney measures 11.6 cm in length. Increased parenchymal echogenicity is suggestive of medical renal disease/parenchymal dysfunction. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 11.4 cm in length. Increased parenchymal echogenicity is suggestive of medical renal disease/parenchymal dysfunction. No hydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted.
1.Findings suspicious for early acute cholecystitis.2.Echogenic kidneys suggesting medical renal disease. Findings communicated with WYNNE, JOSEPH at 4:05 p.m. on 6/12/2015. 