Diarrhea, abdominal pain LIVER: Liver measures 14.4 cm, with coarse heterogenous echotexture and without any focal lesions. No intrahepatic biliary ductal dilatation. Portal vein demonstrates normal flow directionality and patency.BILIARY TRACT: Gallbladder is contracted with multiple echogenic areas few of which shadowing within it. Difficult to ascertain whether these are gallstones or calcifications along the wall of the gallbladder. No evidence of pericholecystic fluid. Gallbladder wall thickness measures up to 4 mm. Common bile duct measures 6 mm at the porta hepatisPANCREAS: Head of the pancreas visualized appears unremarkable. Body and pancreas not visualized due to overlying bowel gas.SPLEEN: Spleen measures 8.1 cm without any focal lesions.RIGHT KIDNEY: Right kidney measures 9.7 cm and left kidney measures 10 cm. No evidence of hydronephrosis or focal lesions. Both kidneys appear mildly echogenic.OTHER: No ascites
1. Coarse heterogenous echotexture of the liver without any focal lesions.2. Contracted gallbladder with few gallstones within it and possible calcifications along the gallbladder wall. No evidence of acute cholecystitis3. Right pleural effusion. 4. Bilateral echogenic kidneys consistent with chronic medical renal disease.