Male 62 years old; Reason: r/o gall stones History: post prandial abdominal pain LIVER: The liver measures 18.7 cm in length. There is slightly increased coarse echogenicity of the liver parenchyma. No focal hepatic lesions. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow measured at 16.7 cm/s. GALLBLADDER/BILIARY TRACT: The gallbladder is contracted and the wall measures 2.1 mm. No stones are seen. No pericholecystic fluid. Negative sonographic Murphy sign. The common bile duct measures 3.3 mm in diameter. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 9.6 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 11.9 cm in length. The cortex has mild atrophy but appears normally echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 12.2 cm in length. The cortex has mild atrophy but appears normally echogenicity. No hydronephrosis, stones, or worrisome masses are seen.URINARY BLADDER: The bladder is partially visualized without any significant abnormalities noted.
1. The gallbladder appears contracted however no evidence of cholelithiasis or acute cholecystitis are seen2. There is hepatomegaly with increased coarse liver echogenicity compatible with fatty infiltration/hepatocellular dysfunction. No worrisome masses are seen.3. Bilaterally the kidneys have mild cortical atrophy.