56-year-old female with right upper quadrant pain in the context of a recent cholecystectomy. LIVER:Measures 14.9 cm. Increased, coarse echogenicity of the liver parenchyma. No ascites, focal mass. No intrahepatic biliary dilation. The portal vein is patent with normal hepatopedal flow.GALLBLADDER, BILIARY TRACT: The gallbladder is absent. The common hepatic duct measures 0.5 cm.PANCREAS: Evaluation the pancreas is limited by overlying bowel gas.SPLEEN: Measures 5.6 cm without sonographic abnormalities.KIDNEYS: Right kidney measures 10.9 cm. Left kidney measures 10.4 cm. The cortices have normal echogenicity. No shadowing calculi, hydronephrosis, or focal mass. OTHER: No significant abnormality noted.
1. Coarse, echogenic liver consistent with chronic liver disease/parenchymal dysfunction. No focal mass or ascites.2. Surgical changes of a prior cholecystectomy.