24-year-old female, right upper quadrant pain LIVER:The liver measures 16.5 cm in length. The portal vein is patent with hepatopetal flow measured at 25.9 cm/s. The liver is coarsely echogenic. No mass.GALLBLADDER, BILIARY TRACT: Several gallstones are noted within the gallbladder. There is no pericholecystic fluid. The gallbladder wall measures 4.2 mm, which is at the upper limits of normal. There was a negative sonographic Murphy sign. Common bile duct measures 8.7 mm, which is enlarged, however no stones are seen within the bile duct on this study.PANCREAS: The pancreas is not well visualized, No significant abnormality is noted.SPLEEN: The spleen measures 11.9 cm in length.KIDNEYS: The right kidney measures 12.7 cm. No mass, hydronephrosis, or stones are noted within the right kidney. The left kidney is not well-visualized on this study
1. Coarse liver echotexture consistent with fatty infiltration/parenchymal dysfunction without mass or ductal dilatation. 2. Cholelithiasis, without evidence of acute cholecystitis. 