31 years old, Female, Reason: Evaluate for gallstones History: RUQ pain occ associated with meals LIVER: The liver measures 15.1 cm in length. Increased parenchymal echogenicity is suggestive of fatty infiltration. No focal hepatic lesion identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.3 m/s. There is likely a small calcified granuloma within the hepatic parenchyma.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present, the common bile duct measures 2 mm in diameter.PANCREAS: The pancreas is not well seen due to overlying bowel gas.SPLEEN: No significant abnormalities noted. The spleen measures 9 cm in length. RIGHT KIDNEY: Kidney measures 9.2 cm in length. Normal echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 10.3 cm in length. Normal echotexture. No hydronephrosis.
1.Normal gallbladder and biliary tract with no evidence of cholelithiasis or acute cholecystitis.2.Increased hepatic parenchymal echogenicity is consistent with fatty infiltration.