Male; 69 years old. Reason: evaluate for pancreatitis, also evaluate gallbladder for stones/gallstone pancreatitis History: elevated lipase, elevated WBC LIVER: The liver contour is smooth. The parenchyma is coarse and echogenic. The liver measures 18.3 cm in length.The main portal vein is patent and demonstrates a normal direction of flow with a peak velocity 0.3 m/sec.BILIARY TRACT: The gallbladder is normal in appearance. There is no cholelithiasis. The gallbladder wall is normal thickness and there is no pericholecystic fluid. The common bile duct measures 4 mm. There is no intrahepatic biliary ductal dilatation.PANCREAS: The head and body of the pancreas are normal in appearance. The pancreatic tail is obscured by overlying bowel gas.SPLEEN: The spleen measures 5.6 cm in length.RIGHT KIDNEY: Right kidney measures 12.4 cm in length. The renal parenchyma is normal in echogenicity. There is no hydronephrosis. OTHER: The left kidney measures 12.1 cm in length. The renal parenchyma is normal in echogenicity. There is no hydronephrosis.Bilateral pleural effusions.
1.Normal gallbladder, no cholelithiasis.2.No evidence of pancreatitis.3.Hepatomegaly and hepatic steatosis.4.Bilateral pleural effusions