41 year-old female with right upper quadrant pain with history of RYGB and lap band placement. Evaluate for cholelithiasis, cholecystitis. LIVER: Normal echogenicity of the liver measuring 18.3 cm in length. No focal hepatic lesions. Portal vein is patent with appropriate direction of flow; peak velocity measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: Normal echogenicity of the gallbladder. No gallbladder wall thickening or pericholecystic fluid. Sonographic Murphy's sign is negative. Common bile duct measures 4 mm in caliber. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Visualized portions of the pancreas are normal in echogenicity.RIGHT KIDNEY: Normal echogenicity of the right kidney measuring 11.2 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Normal echogenicity of the left kidney measuring 11.1 cm in length. No hydronephrosis or shadowing calculi noted.Normal echogenicity of the spleen measuring 10.6 cm.
No sonographic findings of cholelithiasis.