Abdominal pain right upper quadrant, assess for cholecystitis or cholangitis LIVER: Liver measures 15 cm with increased echogenicity suspicious for hepatic steatosis. No intrahepatic biliary duct dilatation. Portal vein demonstrates normal flow directionality and patency measuring up to 0.2 m/s. No focal liver lesions noted. GALLBLADDER, BILIARY TRACT: Gallbladder is well distended with sludge noted within the bladder. No evidence of gallstones. Multiple small punctate hyperechoic areas within known artifacts noted in the fundus of the gallbladder most likely representing cholesterolosis/polyps. No evidence of pericholecystic fluid. Common hepatic duct measuring up to 3 mm within normal limits.PANCREAS: No significant abnormalities noted.KIDNEY: Right kidney measures 10.1 cm with normal echotexture. No hydronephrosisLimited evaluation of the left upper quadrant due to overlying bowel gas. Left kidney measures 9.5 cm.OTHER: Spleen measures 10.2 cm with normal echotexture.Mild Ascites noted.Bilateral pleural effusion noted
Hepatic steatosis without any focal liver lesion.Multiple gallbladder cholesterolosis/polyps and sludge. No evidence of gallstonesBilateral pleural effusion.Limited evaluation of the left upper quadrant due to overlying bowel gas.