27 years old, Female, Reason: Please evaluate RUQ, especially liver and biliary tree, given elevated LFTs. Please assess area around ileostomy to evaluate for abscess History: elevated liver enzymes LIVER: The liver measures 18 cm in length. The parenchyma is normal in appearance. No focal hepatic lesion identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.4 m/s.BILIARY TRACT: There is gallbladder sludge without evidence of gallbladder wall thickening or peri-cholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 0.3 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 13.5 cm in length. RIGHT KIDNEY: Kidney measures 11.2 cm in length. Mild hydronephrosis.LEFT KIDNEY: Kidney measures 10 cm in length. Mild hydronephrosis.OTHER: The bladder is collapsed and not well visualized. No evidence of subcutaneous abscess or fluid collection in the area of the ileostomy. Note is made of incompletely imaged fetus.
1.Gallbladder sludge without evidence of acute cholecystitis.2.Bilateral mild hydronephrosis, which is likely physiologic given known pregnancy.3.No evidence of subcutaneous abscess or fluid collection in the area of the ileostomy as clinically questioned.