80-year-old female with nausea and vomiting. Evaluate for cholecystitis. LIVER: The liver is normal in morphology, echogenicity and size, measuring 14.1 cm in craniocaudal dimension. No suspicious focal hepatic lesion or intrahepatic biliary ductal dilatation. There is normal hepatopetal portal venous blood flow at 24 cm/sec.GALLBLADDER, BILIARY TRACT: No biliary ductal dilatation with the common bile duct measuring 3 mm at the pancreatic head. A normally distended gallbladder is seen without cholelithiasis, wall thickening, pericholecystic fluid, or focal tenderness.PANCREAS: The visualized portions of the pancreatic body and head are normal.RIGHT KIDNEY: The right kidney measures 9.1 cm with mildly increased cortical echogenicity. No shadowing nephrolithiasis. There is a 2.3-cm simple appearing cyst.OTHER: The spleen is normal in size, measuring 7.9 cm. The left kidney measures 9.1 cm with increased cortical echogenicity. No shadowing nephrolithiasis. There is a 2.7 cm simple appearing cyst.
No cholelithiasis or evidence of acute gallbladder inflammation. Echogenic kidneys with bilateral simple appearing cysts.