43 years old, Female, Reason: concern for cholangitis History: as above LIVER: The liver measures 19.6 cm in length. Echogenicity of the liver is within normal limits. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s.BILIARY TRACT: There is sludge within the gallbladder and a small stone. The gallbladder wall is mildly thickened secondary to nondistention. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures two mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 9.4 cm in length. RIGHT KIDNEY: Kidney measures 11.2 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass. Simple cysts are seen in the right kidney, similar to prior exam.LEFT KIDNEY: Kidney measures 11.5 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass. Simple cysts are seen in the left kidney, similar to prior exam.OTHER: No significant abnormalities noted.
Cholelithiasis and gallbladder sludge in a nondistended gallbladder without evidence of biliary dilatation or cholecystitis.