81-year-old male with right upper quadrant pain, evaluate for liver or gallbladder pathology. LIVER: Increased hepatic echogenicity without discrete focal lesion.GALLBLADDER, BILIARY TRACT: Cholelithiasis and biliary sludge. No gallbladder wall thickening, pericholecystic fluid, or sonographic Murphy sign. No biliary ductal dilation.PANCREAS: No significant abnormalities noted.KIDNEY: Increased renal echogenicity.OTHER: No significant abnormalities noted.
1. Cholelithiasis without specific evidence of cholecystitis. 2. Increased hepatic echogenicity consistent with hepatic steatosis or parenchymal disease. 3. Increased renal echogenicity consistent with medical renal disease. 