78-year-old male with sepsis due to strep pneumonia. Lactic acidosis. Acute kidney insufficiency. LIVER:Liver is normal in size. There is no focal hepatic abnormality and echotexture likely within normal limits.GALLBLADDER, BILIARY TRACT: Dependent gallstone within the gallbladder with some associated sludge, but without wall thickening or pericholecystic fluid. The biliary tract is normal in caliber.PANCREAS: ThereSPLEEN: Very limited but normal in size.KIDNEYS: The right kidney measures 10.5 cm in length. Echotexture is normal. No hydronephrosis. The left kidney is in adequately visualized due to bowel gas.ABDOMINAL AORTA: Normal in caliber.INFERIOR VENA CAVA: No significant abnormality noted.OTHER: Urinary bladder decompressed with Foley catheter.Trace of fluid in the right lower quadrant.
1. Gallstones without complication.2. Limited exam of the left kidney and spleen.