78 year old female with right upper quadrant pain. Evaluate for gallstones. LIVER: The liver measures 16.7 cm in length. The liver contour is smooth, the parenchyma is normal in echogenicity. No mass is identified.BILIARY TRACT: Small stones are seen within the gallbladder. There is no gall bladder wall thickening or pericholecystic fluid. There is persistent, mild intrahepatic biliary ductal dilatation. The common hepatic duct measures 0.3 cm in diameter, the common bile duct measures 1.1 in diameter. No convincing evidence of choledocholithiasis.PANCREAS: Limited evaluation of the pancreas reveals no significant abnormality.SPLEEN: The spleen measures 9.3 cm in length.KIDNEYS: The right kidney measures 9.1 centimeters in length. The left kidney measures 10.1 cm in length. Bilaterally there is no hydronephrosis or shadowing renal stone, the renal cortex is normal in echogenicity. OTHER: No significant abnormalities noted.
Mild biliary dilatation, similar to prior. No stones are seen within the ducts. As was noted previously, this finding may be age-related rather than secondary to an obstructive process.