Evaluate for abdominal abscess. LIVER: Non-cirrhotic liver morphology. Normal parenchymal echogenicity. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Contracted gallbladder with minimal wall thickening, decreased compared to prior. No gallstones or pericholecystic fluid. No sonographic Murphy's sign.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 7.9 cm in length. The left kidney is 10.0 cm in length. No suspicious renal lesions are evident. No hydronephrosis is seen.SPLEEN: 8.3 cm in length, without focal lesions evident.OTHER: No significant abnormalities noted. No ascites is identified.
1. No specific findings to account for the patient's symptoms. Specifically no evidence of acute cholecystitis or abdominal fluid collection, per clinical query.2. Decreased size of the kidneys, reflecting some degree of atrophy.