Elevated lipase and abdominal pain. Slightly limited by body habitus.LIVER: The liver is coarse and increased in echogenicity. It measures 11.9 cm in craniocaudal dimension. No focal lesion is evident. No intrahepatic biliary ductal dilatation. Normal hepatopedal portal venous blood flow at 22 cm/s.BILIARY TRACT: No intra or extrahepatic biliary ductal dilatation with the common duct measuring 4 mm.Partially contracted gallbladder containing sludge and small shadowing gallstones. No gallbladder wall thickening, pericholecystic fluid or focal tenderness.PANCREAS: The pancreas is obscured by overlying bowel gas shadowing.SPLEEN: The spleen measures 5 cm and is poorly visualized otherwise.RIGHT KIDNEY: The right kidney measures 11.6 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion. OTHER: The left kidney measures 10.8 cm without hydronephrosis, shadowing nephrolithiasis or discrete lesion.
1. Cholelithiasis without evidence of acute cholecystitis.2. Coarse and increased liver echogenicity suggestive of diffuse fatty infiltration.3. No biliary ductal dilatation. The pancreas is obscured by overlying bowel gas.