Patient presents with left upper quadrant. LIVER: The liver is mildly coarse measuring 12 cm in length without a focal lesion or biliary ductal dilatation. Normal hepatopedal portal venous blood flow at 17 cm/s. BILIARY TRACT: No extrahepatic biliary ductal dilatation. Cholelithiasis without gallbladder wall thickening, pericholecystic fluid or focal tenderness.PANCREAS: The pancreas is obscured by overlying bowel gas shadowing.SPLEEN: The spleen measures 6.3 cm.RIGHT KIDNEY: The right kidney is atrophic and lobular in contour without hydronephrosis or discrete lesion. It measures 6 cm in length, similar to prior CT. OTHER: The left kidney measures 10.7 cm without hydronephrosis, shadowing nephrolithiasis or discrete lesion. Color Doppler demonstrates hilar blood flow.
No specific findings to account for the patient's left upper quadrant pain. Chronic findings appearing similar to prior CT.