44-year-old male patient with epigastric pain. Evaluate for cholelithiasis. LIVER: The liver measures 16.8 cm in length. Hepatic parenchymal echogenicity is slightly coarsened. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 3 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 11 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 11.4 cm in length. No evidence of hydronephrosis.The spleen measures 7.6 cm in length.
No cholelithiasis or sonographic evidence of acute cholecystitis.