Reason: evaluate for cholecystitis, cholelithiasis History: elevated alkaline phosphatase, abdominal pain Examination mildly limited due to constraints positioning patient.LIVER: The liver measures 18.3 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 0.36 m/s.BILIARY TRACT: Cholelithiasis. Mild gallbladder wall thickening measuring up to 3 mm. Probable trace pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 10.2 cm in length. RIGHT KIDNEY: Kidney measures 7.5 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 8.0 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: Bilateral pleural effusions.
1.Cholelithiasis. Mild gallbladder wall thickening and trace pericholecystic fluid, early cholecystitis cannot be excluded. 2.Bilateral pleural effusions.Discussed with FERNANDES, CHRISTOPHER at 11:11 AM on 12/13/2016