45-year-old female presents with right upper quadrant pain. Evaluate for cholelithiasis. LIVER:The liver measures 21.7 cm. There is mildly increased echogenicity of the liver parenchyma. No focal masses, ascites, intrahepatic biliary dilation. The portal vein is patent with normal hepatopedal flow.GALLBLADDER, BILIARY TRACT: The gallbladder is nondistended with an anechoic lumen. Wall thickness measures 0.2 cm. Negative sonographic Murphy's sign. No pericholecystic fluid. An approximately 0.3 x 0.4 cm hyperechoic foci in the gallbladder is consistent with a gallbladder polyp. No sludge. The common bile duct measures 0.2 cm.PANCREAS: Evaluation the pancreas is limited by overlying bowel gas.SPLEEN: The spleen measures 10.6 cm. No sonographic abnormalities.KIDNEYS: The right kidney measures 11.4 cm left kidney measures 12.1 cm. The cortex disease have normal echogenicity. OTHER: No significant abnormality noted.
1. Increased echogenicity of liver consistent with chronic liver disease/parenchymal dysfunction. No focal masses or ascites.2. Hepatomegaly.3. Gallbladder polyps without evidence of cholelithiasis or cholecystitis.