Elevated LFTs and right upper quadrant pain. LIVER: Mildly echogenic liver. The liver is normal in morphology and size, measuring 12.8 cm in craniocaudal dimension. No focal lesion or intrahepatic biliary ductal dilatation. Normal hepatopedal portal venous blood flow at 25 cm/s.BILIARY TRACT: Normally distended gallbladder without gallstones, wall thickening, pericholecystic fluid or focal tenderness. No extrahepatic biliary ductal dilatation with the common duct measuring 6 mm.PANCREAS: The visualized portions of the pancreatic body and head are unremarkable. The remainder is obscured by overlying bowel gas shadowing.SPLEEN: The spleen measures 7.6 cm without a focal lesion.RIGHT KIDNEY: The right kidney measures 10.1 cm in length without hydronephrosis.OTHER: The left kidney measures 10.3 cm in length without hydronephrosis.
Mildly echogenic liver may represent fatty infiltration. Otherwise, no specific findings to account for the patient's right upper quadrant pain. Trace pleural effusion.