Reason: ? Gallstones History: pancreatitis LIVER: The liver measures 15.5 cm in length. Coarse, echogenic hepatic parenchyma. The portal vein is patent with normal directional hepatopedal blood flow, peak velocity 21.6 cm/s. No focal mass.GALLBLADDER, BILIARY TRACT: Numerous echogenic stones and sludge are seen within the gallbladder lumen and neck. The gallbladder wall measures 0.2 cm. The common bile duct measures 0.2 cm. No significant biliary ductal dilatation. No pericholecystic fluid. Negative sonographic Murphy's sign.PANCREAS: Obscured by bowel gas.KIDNEYS: The right kidney measures 10.4 cm in length. The left kidney measures 10.3 cm in length. Normal renal echogenicity. No shadowing stones or hydronephrosis.OTHER: No ascites.
1. Findings consistent with hepatic steatosis or hepatic parenchymal dysfunction.2. Cholelithiasis and gallbladder sludge without evidence of cholecystitis.