Increasing LFTs with right upper quadrant pain LIVER: Coarse echogenic liver parenchyma again noted without mass. Liver length 17.1 cm.GALLBLADDER, BILIARY TRACT: Gallbladder is collapsed. Gallbladder wall thickening again noted without pericholecystic fluid. Questionable punctate cholelithiasis again noted.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Echogenic renal parenchyma with without mass, stone, or hydronephrosis. Right kidney 11 cm in lengthOTHER: Echogenic left renal parenchyma without hydronephrosis. Left kidney 10.9 cm in length. Spleen 14.8 cm in length.
Coarse echogenic liver again noted consistent with parenchymal dysfunction without mass or ductal dilatation. Gallbladder wall thickening again noted without pericholecystic fluid. However, the gallbladder is collapsed and therefore this diffuse wall thickening is best considered nonspecific. Questionable punctate cholelithiasis.Echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction without mass, stone, or obstruction.