20-year-old female presents with right upper quadrant pain. Evaluate for cholelithiasis. LIVER:Measures 17.4 cm. Course, heterogenous echogenicity of the liver parenchyma. No focal masses, ascites, intrahepatic biliary dilation. The portal vein is patent with normal hepatopedal flow.GALLBLADDER, BILIARY TRACT: The gallbladder was not able to be definitely visualized on this study.PANCREAS: Evaluation the pancreas limited due to overlying bowel gas.SPLEEN: Measures 10.0 cm without sonographic abnormalities.KIDNEYS: The right kidney measures 10.6 cm. Left kidney measures 10.7 cm. The cortices have normal echogenicity. No shadowing calculi, hydronephrosis, or focal masses. OTHER: There is a small fluid collection between the inferior vena cava and the liver with some internal echoes which could represent a decompressed gallbladder or a loop of bowel which is incompletely visualized on this study.
1. Course, heterogenous echogenic texture of the liver parenchyma is with chronic liver disease/parenchyma dysfunction.2. Gallbladder was not fully visualized on this study. There is a small fluid collection between the inferior vena cava and the liver which could represent a decompressed gallbladder although this could also represent a loop of bowel.