Reason: RUQ pain, epigastric pain. Examination mildly limited by constraints positioning patient. LIVER: The liver measures 12.0 cm in length. The liver parenchymal echotexture is normal. Several cystic structures within the liver some with mildly thickened internal septations. The largest cystic lesions is in the right lobe measuring up to 3.0 cm, slightly increased in size from 2010 CT. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.27 m/s.BILIARY TRACT: Single shadowing gallstone without associated gallbladder wall thickening or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 6 mm in diameter.PANCREAS: Not well visualized. SPLEEN: No significant abnormalities noted. The spleen measures 6.8 cm in length. RIGHT KIDNEY: Kidney measures 9.8 cm in length. Increased parenchymal echogenicity. No hydronephrosis, shadowing calculus, or mass. Cyst measuring up to 1.3 cm. LEFT KIDNEY: Kidney measures 9.2 cm in length. Increased parenchymal echogenicity. No hydronephrosis, shadowing calculus, or mass.OTHER: No significant abnormalities noted.
1.Mildly limited exam. 2.Cholelithiasis without evidence of acute cholecystitis or biliary ductal dilation. 3.Echogenic kidneys suggestive of medical renal disease.