49-year-old male with epigastric pain. Evaluate for cholecystitis. LIVER: Liver is highly and somewhat heterogeneously echogenic with decreased penetration of sound most likely due to fatty infiltration. No gross, focal hepatic abnormality. Limited color and spectral Doppler demonstrates patency and appropriate flow direction in the main portal vein.GALLBLADDER, BILIARY TRACT: Gallbladder is normal without cholelithiasis, wall thickening or pericholecystic fluid. Visualized biliary tract is normal in caliber.PANCREAS: Limited by body habitus and bowel gas.RIGHT KIDNEY: No significant abnormalities noted.OTHER: No significant abnormalities noted.
No evidence for cholecystitis.Irregular fatty liver.