50 year-old male with history of elevated liver enzymes. LIVER: The liver parenchyma is normal in appearance. The liver measures 17 cm.GALLBLADDER, BILIARY TRACT: The gallbladder wall measures 0.5 cm in thickness. There is no pericholecystic fluid, the gallbladder is not dilated, and no gallstones are seen.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. The right kidney measures 5.7 cm.OTHER: No significant abnormalities noted. The left kidney measures 5.3 cm. The spleen is enlarged, measuring 13 cm. No sonographic Murphy's sign. No significant ascites.
1.Thickened gallbladder wall, nonspecific but given the patient's relatively benign presentation this would be atypical for cholecystitis. This thickening may be seen with heart failure or hypoproteinemia, among other causes.2.No biliary dilatation, perihepatic fluid collections or other significant liver parenchymal abnormalities.