24-year-old male with cholecystostomy tube, abdominal pain. Evaluate for tube position. LIVER: Liver appears mildly coarsely echogenic without focal abnormality. Limited color and spectral Doppler demonstrates patency and appropriate flow direction in the main portal vein. Tracing is pulsatile which may be seen with congestive heart failure.GALLBLADDER, BILIARY TRACT: Gallbladder is nondistended. There is a portion of a drainage tube identified within the gallbladder. There are also moderately echogenic and non-shadowing foci which may be due to sludge or small amount of hemorrhage. No pericholecystic fluid.PANCREAS: Not visualized due to bowel gas.RIGHT KIDNEY: Atrophic with calcifications.OTHER: Ascites and right pleural effusion.
Echogenic liver.Drainage tube identified within the gallbladder.Ascites and right pleural effusion.