Reason: RUQ pain, evaluate for cholecystitis LIVER: The liver measures 17.0 cm in length. Normal hepatic parenchymal echogenicity and echotexture. The portal vein is patent with normal directional hepatopedal flow, peak velocity 19.4 cm/s.GALLBLADDER, BILIARY TRACT: The gallbladder is distended, however there are no shadowing stones or intraluminal sludge. No pericholecystic inflammation or fluid. No biliary ductal dilatation. Gallbladder wall measures 0.2 cm and the common bile duct measures 0.2 cm. Negative sonographic Murphy's sign.PANCREAS: No significant abnormalities noted. The pancreatic duct measures 0.13 cm.KIDNEYS: The right kidney measures 8.7 cm in length. The left kidney measures 9.7 cm in length. Echogenic renal parenchyma. No shadowing stones or hydronephrosis.OTHER: No ascites.
1. Distended gallbladder without evidence of cholelithiasis, sludge, or acute inflammation.2. Echogenic kidneys, consistent with medical renal disease.