Male 40 years old; Reason: RUQ pain, r/o GB stone, renal stone History: RUQ pain LIVER: The liver measures 15.0 cm in length. There is 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 24.7 cm/s. GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 3.2 mm. No stones are seen but there is a small amount of sludge near the neck. No pericholecystic fluid. Negative sonographic Murphy sign. The common bile duct measures 3.8 mm in diameter. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 9.3 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 11.7 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 11.0 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.
1. There is increased echogenicity of the liver parenchyma compatible with fatty infiltration/hepatocellular dysfunction. No worrisome masses are seen.2. No evidence of cholelithiasis or acute cholecystitis.