50 years old, Female, Reason: cholecystitis History: RUQ pain, vomiting LIVER: The liver measures 17.7 cm in length. Mildly increased echogenicity of the hepatic parenchyma is consistent with fatty infiltration. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.3 m/s.BILIARY TRACT: Multiple shadowing gallstones are present within a collapsed gallbladder which likely accounts for the concentric gallbladder wall thickening. No pericholecystic fluid or sonographic Murphy's sign to suggest active inflammation. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 5 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 9.1 cm in length. RIGHT KIDNEY: Kidney measures 10.9 cm in length. Normal echotexture. Mild hydronephrosis without evidence of shadowing calculus.LEFT KIDNEY: Kidney measures 10.3 cm in length. Normal echotexture. Mild hydronephrosis without evidence of shadowing calculus.OTHER: No significant abnormalities noted.
1.Cholelithiasis in a contracted gallbladder without evidence of cholecystitis.2.Bilateral mild hydronephrosis without clear etiology on this ultrasound examination.3.Increased hepatic parenchymal echogenicity is consistent with fatty infiltration.