74-year-old female with history of pancreatitis, gallstones. Concern for ductal obstruction. Limited examination due to patient body habitus and presence of bowel gas.LIVER: No significant abnormalities noted.GALLBLADDER, BILIARY TRACT: Cholelithiasis with gallbladder wall measuring upper limits of normal. No pericholecystic fluid or sonographic Murphy sign. No biliary ductal dilation or evidence of choledocholithiasis.PANCREAS: The majority of the pancreas is not clearly visualized due to bowel gas.RIGHT KIDNEY: Increased renal echogenicity. Small left renal calculi and mild prominence of the left collecting system.OTHER: No significant abnormalities noted.
1.Cholelithiasis without specific evidence of acute cholecystitis.2.Increased hepatic echogenicity consistent with diffuse parenchymal disease or hepatic steatosis.3.Limited evaluation of the pancreas secondary to patient's bowel gas. Please see recent prior CT from 8/23/2015.4.Increased renal echogenicity consistent with medical renal disease. Nephrolithiasis and mild prominence of the left renal collecting system, but no frank hydronephrosis.