41 years old, Female, Reason: R shoulder pain after eating, eval for cholecystitis History: R shoulder pain after eating, AIH LIVER: The liver measures 12.7 cm in length. Hepatic parenchymal echogenicity is within normal limits. Multiple anechoic foci within the liver of varying sizes the largest of which measures 1.9 x 1.4 x 2.0 cm and is located in the right hepatic lobe. These lesions are indeterminate by ultrasound but are favored to represent hepatic cysts. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures two mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 11.2 cm in length. RIGHT KIDNEY: Kidney measures 9.9 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 10.2 cm in length. Normal echotexture. Nohydronephrosis. Nonobstructing shadowing calculus in the left kidney measures up to 6 mm.OTHER: No significant abnormalities noted.
1.Normal gallbladder and biliary tract with no evidence of cholelithiasis or cholecystitis.2.Nonobstructing shadowing calculus in the left kidney measures up to 6 mm.3.Multiple anechoic foci within the hepatic parenchyma are indeterminate on this ultrasound exam although are favored to represent cysts.