Right upper quadrant pain. LIVER: Non-cirrhotic liver morphology. Unremarkable parenchymal echogenicity. No focal hepatic lesions. Normal portal venous direction of flow, with pulsatility compatible with right heart failure.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Normal appearance of the gallbladderPANCREAS: 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 11.1 cm in length. The left kidney is 8.0 cm in length. The renal parenchyma is echogenic bilaterally. No suspicious renal lesions are evident. No hydronephrosis is present.SPLEEN: 8.1 cm in length, without focal lesions evident.OTHER: Left pleural effusion, partially imaged. Trace ascites.
1. No specific findings to account for the patient's right upper quadrant abdominal pain.2. Left pleural effusion, trace ascites, and portal vein pulsatility, compatible with congestive heart failure.3. Echogenic renal parenchyma without hydronephrosis, compatible with medical renal disease.