Female 41 years old; Reason: RUQ pain, eval stones History: above LIVER: The liver measures 16.9 cm in length. There is coarse increased echogenicity of the liver parenchyma. No focal hepatic lesions. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow measured at 20.0 cm/s. GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 4.0 mm. No stones or sludge are seen. No pericholecystic fluid. Negative sonographic Murphy sign. The common bile duct measures 1.7 mm in diameter. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 10.2 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 11.9 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 13.7 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.
1. No evidence of cholelithiasis or acute cholecystitis are seen. No intra or extrahepatic ductal dilation.2. Coarse increased echogenicity of the liver parenchyma compatible with fatty infiltration/hepatocellular dysfunction.