43-year-old female with history of hepatitis B presents for screening for hepatocellular carcinoma. LIVER:Measures 10.5 cm. Heterogenous echotexture. No focal mass, intrahepatic biliary dilation, or ascites. Renal vein is patent with hepatopedal flow.GALLBLADDER, BILIARY TRACT: Gallbladder is nondistended with an anechoic lumen. There is a hyperechoic foci that shadows within the lumen. No pericholecystic fluid or wall thickening. A second focus measuring approximately 0.3 x 0.4 x 0.2 cm is in the lumen of the gallbladder. The common duct measures 0.2 cm.PANCREAS: Evaluation of the pancreas is limited due to overlying bowel gas.SPLEEN: Measures 7.9 cm without sonographic abnormality.KIDNEYS: Right kidney measures 8.6 cm. Left kidney measures 8.6 cm. Unremarkable echogenicity. No focal mass, shadowing calculi, or hydronephrosis. OTHER: No significant abnormality noted.
Cholelithiasis without signs of acute cholecystitis. Small subcentimeter focus may represent a gallbladder polyp or nonshadowing stone.