Right upper quadrant pain LIVER: Mildly heterogeneous liver without mass. Liver length 15.7 cm.BILIARY TRACT: Cholelithiasis with mild diffuse wall thickening. No pericholecystic fluid. No positive Murphy's sign. No ductal dilatation.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. 9.1 cm in lengthRIGHT KIDNEY: No significant abnormalities noted. 10.3 cm in lengthOTHER: Left kidney 10.6 cm in length. No ascites.
Mildly heterogeneous liver raises the possibility of fatty infiltration/parenchymal dysfunction without mass. Cholelithiasis with mild diffuse wall thickening without pericholecystic fluid or Murphy's sign. While there is no evidence for acute cholecystitis, chronic inflammation cannot be excluded. No ductal dilatation. No ascites.