31 year-old female with right upper quadrant pain, cholelithiasis, evaluate for common bile duct stone. LIVER: Coarse echotexture of the liver measuring 19.7 cm in length. No focal hepatic lesion.GALLBLADDER, BILIARY TRACT: Several shadowing stones with layering sludge within the gallbladder. No pericholecystic fluid. No gallbladder wall thickening. Mild prominence of the common bile duct which appears to taper distally with no evidence of shadowing choledocholithiasis.PANCREAS: Pancreatic duct caliber at upper limits of normal. The pancreas is not well assessed due to overlying bowel gas.RIGHT KIDNEY: Normal echogenicity of the right kidney measuring 11.3 cm in length. No hydronephrosis.OTHER: Normal echogenicity of the left kidney measuring 10.9 cm in length. No hydronephrosis. Normal echogenicity of the spleen measuring 10.3 cm in length.
1. Cholelithiasis and sludge without evidence of cholecystitis. 2. Mild prominence of the common bile duct proximally however appears to taper distally with no definite evidence of echogenic choledocholithiasis. 3. Pancreatic duct at upper limits of normal, however pancreas not well assessed due to overlying bowel gas. 4. Course echotexture of the liver suggestive of parenchymal dysfunction/fatty infiltration. Stable mild hepatomegaly. 