55 years old, Male, Reason: r/o cholecystitis History: sepsis of unclear source with elevated bilirubin LIVER: The liver measures 16.6 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 0.4 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. Mild intrahepatic biliary ductal dilatation which is nonspecific but may be further evaluated with MRCP if clinically warranted. The common bile duct measures 3 mm in diameter. Focus of adenomyomatosis or cholesterolosis is noted in the anterior portion of the gallbladder.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 11.8 cm in length. RIGHT KIDNEY: Kidney measures 11.0 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 9.8 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted.
1.Gallbladder sludge without evidence of cholecystitis.2.Mild intrahepatic ductal dilatation which can be further evaluate MRCP if further evaluation is clinically warranted.