23 year old male with collection near gallbladder on prior CT. Complains of recurrent abdominal pain. LIVER: The liver measures 16.6 cm in length. It demonstrates normal echotexture without focal lesions or biliary ductal dilatation. The main portal vein is patent and demonstrates hepatopedal flow with velocity of 0.2 m/s.GALLBLADDER, BILIARY TRACT: There is wall thickening of the gallbladder fundus, with numerous associated echogenic foci along the gallbladder wall. The region of abnormality measures 5.1 x 1.5 x 2.5 cm. Findings likely represent fundal adenomyomatosis. No evidence of fluid collection/abscess. No shadowing gallstones. No sonographic Murphy sign.PANCREAS: No significant abnormalities noted.OTHER: No ascites.
Findings compatible with focal fundal adenomyomatosis as described above.