Elevated bilirubin sepsis and abdominal pain LIVER:Coarse echogenic liver echotexture without mass. Liver length 18.7 cm.GALLBLADDER, BILIARY TRACT: Mild gallbladder wall thickening with trace pericholecystic fluid. Negative Murphy's sign. No ductal dilatation. Multiple nonmobile subcentimeter gallbladder wall foci.PANCREAS: No significant abnormality noted.SPLEEN: Spleen length is 18 cmKIDNEYS: No significant abnormality noted. Right kidney 12.6 cm in length. Left kidney 12 cm in length.ABDOMINAL AORTA: No significant abnormality noted.INFERIOR VENA CAVA: No significant abnormality noted.OTHER: No ascites
Hepatosplenomegaly associated with coarse echogenic liver echotexture suggestive for fatty infiltration/parenchymal dysfunction without mass or ductal dilatation. No ascitesMildly thickened gallbladder wall with trace pericholecystic fluid. Although there is no Murphy's sign, some element of inflammation is suspected.Nonmobile stones or gallbladder polyps.