Leukocytosis and fever. LIVER: Non-cirrhotic liver morphology. Normal parenchymal echogenicity. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Normal appearance of the gallbladder. No gallstones identified.PANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 10.3 cm in length. The left kidney is 9.6 cm in length. The renal parenchymal echogenicity is elevated. No suspicious renal lesions are evident. No hydronephrosis is seen.SPLEEN: 8.5 cm in length, without focal lesions evident.OTHER: Small amount of abdominal free fluid identified.
1. Echogenic renal parenchyma, without hydronephrosis, compatible with medical renal disease.2. Minimal abdominal free fluid, which may be postsurgical.3. No evidence of cholecystitis, per clinical query.