Reason: Patient with neutropenic fevers, pericholecystic fluid seen on CT. Assess for cholecystitis LIVER: The liver measures 20.5 cm in length, enlarged. The hepatic parenchymal echotexture and echogenicity is coarse and echogenic. There is no focal mass. No biliary ductal dilatation. The portal vein is patent with normal directional hepatopedal flow and waveform, peak velocity 39.5 cm/s.BILIARY TRACT: The gallbladder appears unremarkable. There is no pericholecystic fluid. There is no evidence of stones or sludge. The gallbladder wall measures 4 mm. The common bile duct measures 5 mm.PANCREAS: No significant abnormalities noted.SPLEEN: The spleen measures 13.7 cm.RIGHT KIDNEY: The right kidney measures 16.1 cm in length. There is no focal mass or hydronephrosis. LEFT KIDNEY: The left kidney measures 16.8 cm in length. There is no focal mass or hydronephrosis.OTHER: No significant abnormalities noted.
1. Coarse, echogenic liver possibly representing hepatic parenchymal dysfunction or hepatic steatosis.2. Normal gallbladder.