31-year-old male presents with right upper quadrant and epigastric pain. LIVER:Measures 15.6 cm. Mildly increased and coarse echotexture of the parenchyma. No focal masses or ascites. The common hepatic measures 0.7 cm. The portal vein is patent with normal hepatopedal flow.GALL BLADDER, BILIARY TRACT: The bladder is enlarged though nondistended. There is dependent echogenic mobile substance within the lumen, consistent with gallbladder sludge. No pericholecystic fluid or stones. Gallbladder wall measures 2.4 mm. The common bile duct measures 0.6 cm.PANCREAS: Increased echogenicity pancreas consistent with chronic pancreatitis.SPLEEN: The spleen measures 8.3 cm without sonographic abnormalities.KIDNEYS: The right kidney measures 9.6 cm. Left kidney measures 12.5 cm. Normal echogenicity. No shadowing calculi, hydronephrosis, or focal mass. OTHER: No significant abnormality noted.
1. Biliary prominence without signs of acute cholecystitis.2. Gallbladder sludge without signs of acute cholecystitis.3. Chronic pancreatitis. Recommend correlating with pancreatic enzymes to r/o acute pancreatitis.