Female 38 years old Reason: gallstones History: epigastric pain LIVER: Liver measures 16.6 cm. Liver has coarse echogenicity which can be seen in diffuse hepatic dysfunction or fatty infiltration. No focal mass. Main portal vein is patent with normal directional flow and peak velocity of 20 cm/s.BILIARY TRACT: No intra or extra hepatic biliary ductal dilatation. Gallbladder is normal in appearance. No gallstones are identified. No gallbladder wall thickening or evidence of cholecystitis. Common bile duct is normal measuring 3 mm. Negative Murphy's sign.PANCREAS: Head of the pancreas is normal in appearance without pancreatic ductal dilatation. Body and tail of the pancreas are obscured by overlying bowel gas.SPLEEN: Spleen is normal in appearance measuring 11.4 cm.KIDNEYS: Normal cortical medullary differentiation. No hydronephrosis, shadowing calculi, or mass. Right kidney measures 10.2 cm. Left kidney measures 9.6 cm.OTHER: No significant abnormalities noted.
1. No evidence of acute cholecystitis. No gallstones are visualized.2.Liver has coarsened echogenicity which can be seen in diffuse hepatic dysfunction or fatty infiltration.