Female; 43 years old. Reason: large gallstone on bedside US, eval for acute cholecystitis History: RUQ abdominal pain LIVER: The liver measures 18.2 cm in length. Liver contour is smooth. The parenchyma demonstrates a coarsened echotexture. No worrisome hepatic mass is identified. There is no ascites.The main portal vein is patent with hepatopetal flow and a peak velocity of 0.27 m/sec.BILIARY TRACT: Gallbladder is not distended. There is a 2 x 3 cm shadowing stone within the body of the gallbladder. The gallbladder wall is thickened measuring 6 mm. There is no pericholecystic fluid. Sonographic Murphy's sign was not elicited. The common duct measures 3 mm in diameter. There is no intrahepatic biliary ductal dilatation.PANCREAS: The pancreas is not well visualized due to overlying bowel gas.SPLEEN: The spleen measures 7.9 cm in length.RIGHT KIDNEY: Right kidney measures 10.5 cm in length. The cortex is normal in echogenicity. There is no hydronephrosis, shadowing renal stone, or worrisome mass identified. OTHER: The left kidney measures 10.1 cm in length. The cortex is normal in echogenicity. There is no hydronephrosis, shadowing renal stone, or worrisome mass identified.
Cholelithiasis without acute inflammation or ductal dilatation. Coarsened echogenic liver parenchyma suggestive for fatty infiltration/parenchymal dysfunction without mass. No ascites.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.