72-year-old female patient with abdominal pain, worsening right upper quadrant. Evaluate for biliary pathology. LIVER: The liver measures 16.2 cm in length. Hepatic parenchymal echogenicity is increased. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: There are numerous shadowing gallstones without pericholecystic fluid or gallbladder wall thickening. Sonographic Murphy's sign is negative. No intrahepatic biliary ductal dilatation is identified. The common duct is slightly dilated and measures 9 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 8.9 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 8.6 cm in length. No evidence of hydronephrosis.The spleen measures 8.7 cm in length.The right and middle hepatic veins are patent.
1. Cholelithiasis without sonographic evidence of acute cholecystitis. 2. Hepatic steatosis. 