72 year old female patient with two episodes of right upper quadrant pain. LIVER: The liver measures 13.1 cm in length and demonstrates coarsened parenchymal echogenicity. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: There are gallstones. No pericholecystic fluid or gallbladder wall thickening is noted. Sonographic Murphy's sign is negative. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 3 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 8.8 cm in length. No evidence of hydronephrosis. There is a hypoechoic 1.5 cm lesion with low level internal echoes within the lower pole of the right kidney.OTHER: The left kidney measures 8.7 cm in length. No evidence of hydronephrosis.The spleen measures 5.9 cm in length.
1. Cholelithiasis without sonographic evidence of acute cholecystitis.2. Minimally complex right lower pole renal cyst; follow up ultrasound is recommended in 12 months. 