47-year-old female patient with bacteremia. Evaluate for abdominal abscess or cholecystitis. LIVER: The liver measures 16.8 cm in length. No focal hepatic lesion is identified. Hepatic parenchymal echogenicity is increased. Main portal vein flow is hepatopetal and measures 0.1 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. No intra- or extrahepatic biliary ductal dilatation is identified. The common bile duct measures 2 mm in diameter.PANCREAS: The imaged portion of the pancreatic head is hypoechoic in echogenicity. The remaining pancreas is not visualized secondary to overlying bowel gas.RIGHT KIDNEY: The right kidney measures 10.1 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 10.2 cm in length. No evidence of hydronephrosis.The spleen measures 8 cm in length.
1. No sonographic evidence of acute cholecystitis.2. Increased hepatic parenchymal echogenicity suggestive of hepatic steatosis.3. Hypoechoic pancreatic parenchyma which can be seen with inflammation; correlate with lipase levels.