51-year-old male with right upper quadrant pain, positive Murphy's sign. Evaluate for cholelithiasis and fatty liver disease. LIVER: Heterogenous echotexture of the liver which measures 18.9 cm in length. Fatty liver with areas of sparing. No intra or extrahepatic biliary ductal dilatation.GALLBLADDER, BILIARY TRACT: No gallbladder wall thickening, pericholecystic fluid, or cholelithiasis to suggest cholecystitis. Common hepatic duct measures 2 mm. Negative Murphy's sign.KIDNEYS: The right kidney measures 12.3 cm and left kidney measures 11.9 cm in length. No evidence of hydroureteronephrosis.OTHER: Spleen measures 8.3 cm in length.
1.No evidence of cholecystitis or cholelithiasis.2.Hepatomegaly and hepatic steatosis.