58 year old female with a history of abdominal pain, evaluate for gallstones. LIVER: The liver parenchyma is minimally coarse. The liver capsule is smooth. It is normal in size, measuring 15 cm in the craniocaudal dimension. No focal lesion or intrahepatic biliary ductal dilatation. There is normal hepatopetal portal venous blood flow with velocity measuring 20 cm/sec.GALLBLADDER, BILIARY TRACT: No extrahepatic biliary ductal dilatation with the common bile duct measuring 3 mm at the pancreatic head. Normally distended gallbladder without wall thickening, pericholecystic fluid, gallstones, or focal tenderness.PANCREAS: The visualized pancreatic body and head are unremarkable.RIGHT KIDNEY: The right kidney measures 9.7 cm without hydronephrosis.OTHER: The left kidney measures 10.8 cm without hydronephrosis. The spleen measures 10 cm in length.
1. No gallstones or other specific findings to account for the patient's right upper quadrant pain.2. Minimally coarse liver parenchyma, may reflect diffuse fatty infiltration/parenchymal dysfunction.