57-year-old female patient with postprandial abdominal pain. Evaluate for gallstones, sludge, common duct stones. LIVER: The liver measures 13.1 cm in length. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.15 m/sec.GALLBLADDER, BILIARY TRACT: There is layering sludge within the gallbladder. No obvious gallstones are identified, although very small stones may not produce a shadow. There is no no pericholecystic fluid or gallbladder wall thickening. 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 8.7 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 9.8 cm in length. No evidence of hydronephrosis.The spleen measures 7.7 cm in length.
Biliary sludge/tiny gallstones without sonographic evidence of acute cholecystitis.