48-year-old female with right upper quadrant pain with food. Evaluate for gallstones. LIVER: Increased echogenicity of the liver measuring 19.6 cm in length. No focal hepatic lesions. Portal vein is patent with appropriate directional flow; peak velocity measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: Small gallstones within the gallbladder. No gallbladder wall thickening. No pericholecystic fluid. The sonographic Murphy's sign is negative. Common bile duct measures 2 mm in caliber. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Visualized portions of the pancreas are unremarkable.RIGHT KIDNEY: Right partial nephrectomy. Kidney measures 11.7 cm in length and is normal in echogenicity. No hydronephrosis or shadowing calculi are noted.OTHER:Normal echogenicity of the left kidney measuring 12.3 cm in length. No hydronephrosis or shadowing calculi are noted. Cyst at the upper pole measures 3.6 cm x 3.6 cm x 3.9 cm. Cyst at the lower pole measures 2.4 cm x 1.7 cm x 2.5 cm.Normal echogenicity of the spleen measuring 9.4 cm in length.
1. Hepatomegaly with increased echogenicity suggestive of parenchymal dysfunction/fatty infiltration.2. Cholelithiasis without evidence of cholecystitis.3. Left renal cysts.