74 year-old male with septic shock. Evaluate for cholecystitis. LIVER: Normal echogenicity of the liver measuring 14.3 cm in length. No focal hepatic lesions. The portal vein is patent with appropriate direction of flow; peak velocity measures 0.2 m/sec.BILIARY TRACT: Mildly prominent gallbladder. No gallbladder wall thickening. No pericholecystic fluid. No shadowing calculi are seen. Common bile duct measures 5 mm in caliber. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Distal tail of the pancreas is obscured by overlying bowel gas. The visualized portions of the pancreas are unremarkable.SPLEEN: Normal echogenicity of the spleen measuring 8.6 cm in length.RIGHT KIDNEY: Right kidney measures 11.3 centers in length. No hydronephrosis or shadowing calculi are noted.OTHER: Left kidney measures 11.0 cm in length. No hydronephrosis or shadowing calculi are noted.
Mildly prominent gallbladder with no evidence of cholelithiasis or cholecystitis.