52-year-old female complains of right flank pain x1 month. There is clinical concern for cholelithiasis versus nephrolithiasis. LIVER:The liver measures 16.6 cm. There is coarse and increased echogenicity of the hepatic parenchyma. No mass or ascites. The portal vein is patent with normal hepatopedal flow.GALLBLADDER, BILIARY TRACT: The gallbladder is nondistended, the wall measures 1.8 mm, there is no pericholecystic fluid, there are no stones or sludge. The common bile duct measures 2.3 mm. The common hepatic duct measures 2.4 mm.PANCREAS: The pancreas is mostly obscured by overlying bowel gas. The visualized portions are normal in appearance.SPLEEN: The spleen measures 9.9 cm. No abnormalities noted.KIDNEYS: Right kidney measures 10.8 cm. The cortex has normal echogenicity. No shadowing calculi or hydronephrosis present. Left kidney measures 11.2 cm. The cortex has normal echogenicity. No shadowing calculi or hydronephrosis present. OTHER: No significant abnormality noted.
1. Coarse echogenic liver consistent with chronic liver disease/parenchymal dysfunction. No mass or ascites.2. No sonographic evidence of cholelithiasis or nephrolithiasis.