Right upper quadrant pain. CHF. LIVER: Non-cirrhotic liver morphology. Normal parenchymal echogenicity. No focal hepatic lesions. Pulsatile portal venous flow, which may be seen in the setting of CHF. GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Status post cholecystectomy.PANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 11.9 cm in length. The left kidney is 13.0 cm in length. The renal parenchymal echogenicity is increased bilaterally. No suspicious renal lesion evident. No hydronephrosis is present.SPLEEN: 12.3 cm in length, without suspicious lesions evident. A splenule is noted.OTHER: Bilateral pleural effusions identified. Trace perihepatic ascites.
1. Bilateral pleural effusions.2. Echogenic renal parenchyma without hydronephrosis, compatible with medical renal disease.3. Otherwise, no specific findings to account for the patient's right upper quadrant abdominal pain.