Reason: RUQ ultrasound to assess for gallstones or ductal dilation given elevated LFTs LIVER: The liver measures 18.9 cm in length. The liver parenchymal echotexture is normal. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.27 m/s.BILIARY TRACT: Sludge is present within the contracted gallbladder without evidence of significant gallbladder wall thickening or pericholecystic fluid. No shadowing gallstones. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 10.9 cm in length. RIGHT KIDNEY: Kidney measures 11.2 cm in length. Increased parenchymal echogenicity. LEFT KIDNEY: Kidney measures 12.6 cm in length. Increased parenchymal echogenicity. OTHER: Pericardial effusion as seen on recent chest CT.
1.Gallbladder sludge without specific evidence of acute cholecystitis or biliary ductal dilatation.2.Mild hepatomegaly. Echogenic liver raising the possible of parenchymal dysfunction/fatty infiltration.3.Echogenic kidneys suggesting medical renal disease.4.Pericardial effusion.