65-year-old male patient with elevated transaminases. Evaluate for hepatosplenomegaly. LIVER: The liver measures 17.4 cm in length. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: There are gallstones without significant pericholecystic fluid or gallbladder wall thickening. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 3 mm in diameter.PANCREAS: The pancreas is poorly visualized on this examination.RIGHT KIDNEY: The right kidney measures 10.1 cm in length. No evidence of hydronephrosis. OTHER: The left kidney is not visualized.The spleen measures 9.7 cm in length.A left iliac fossa transplant kidney is without hydronephrosis.
Cholelithiasis without sonographic evidence of acute cholecystitis.