58 year-old female with ascites and elevated lipase, evaluate for cholelithiasis or infection. LIVER: The liver measures 15.5 cm in length. The liver parenchymal echotexture is normal. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.3 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 2 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 10.4 cm in length. RIGHT KIDNEY: Kidney measures 12.8 cm in length. Normal echotexture. Mild hydronephrosis. LEFT KIDNEY: Kidney measures 13.1 cm in length. Normal echotexture. Mild hydronephrosis. OTHER: Ascites.
1.No evidence of cholelithiasis or cholecystitis.2.Abdominal ascites and bilateral pleural effusions. 3.Mild righter greater than left hydronephrosis.