Female 34 years old; Reason: assess for gallstones, signs of cholecystitis History: RUQ tenderness LIVER: The liver measures 20.3 cm in length. There is normal 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 36.3 cm/s. There is trace ascites.GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 3 mm. No stones or sludge are seen within the gallbladder. No pericholecystic fluid. The common bile duct measures 4.6 mm in diameter. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 11.8 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 13.2 cm in length. The cortex has increased echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 12.9 cm in length. The cortex has increased echogenicity. No hydronephrosis, stones, or worrisome masses are seen.
1. No sonographic evidence of cholelithiasis or acute cholecystitis.2. Mild hepatomegaly with no focal hepatic lesions or intrahepatic ductal dilation. There is trace ascites.3. Bilaterally, the kidneys have increased echogenicity compatible with medical renal disease without hydronephrosis.