45-year-old female patient with abdominal distention. Evaluate for cholecystitis. (Upon review of prior imaging, the patient has had a cholecystectomy). LIVER: The liver measures 22.1 cm in length. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: The gallbladder is surgically absent. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 6 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 11.8 cm in length. There is mild hydronephrosis.OTHER: The left kidney measures 12.4 cm in length. No evidence of hydronephrosis.The spleen measures 11.2 cm in length.There is mild ascites.
1. Status post cholecystectomy as noted on prior CT.2. Hepatomegaly and mild ascites.3. Mild right hydronephrosis.