35-year-old male with transaminitis and HIV. Assess for cirrhosis and biliary obstruction. LIVER:Mild ascites. Normal echogenicity. No intrahepatic biliary dilation, focal mass.GALLBLADDER, BILIARY TRACT: The gallbladder is nondistended with anechoic lumen. Echogenic material partially fills the lumen, consistent with cholelithiasis. Gallbladder wall measures 1.8 mm. Common hepatic duct measures 0.3 cm. No pericholecystic fluid. Negative sonographic Murphy's sign.PANCREAS: Evaluation the pancreas is limited due to overlying bowel gas.SPLEEN: Measures 12.0 cm without sonographic abnormalities.KIDNEYS: Left kidney measures 12.1 cm. Right kidney measures 11.3 cm. Normal echogenicity. No hydronephrosis, shadowing calculi, or focal mass. OTHER: No significant abnormality noted.
1. Cholelithiasis and gallbladder wall thickening. Of note, in the context of ascites gallbladder wall thickening is nonspecific.2. Mild ascites.