61 years old, Female, Reason: evaluate ruq for biliary stones, patient presented with pancreatitis History: pancreatitis LIVER: The liver is mildly enlarged measuring 19.4 cm in length. Increased echogenicity of the liver is consistent with fatty infiltration. Small hepatic cyst is again identified similar appearance recent CT of the abdomen. No suspicious focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 5 mm in diameter.PANCREAS: Increased heterogeneity of the pancreas is consistent with known pancreatitis.SPLEEN: No significant abnormalities noted. The spleen measures 7.6 cm in length. RIGHT KIDNEY: Kidney measures 10.1 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 10.8 cm in length. Normal echotexture. No hydronephrosis or shadowing calculus. Mildly complex bilobed renal cyst seen on this ultrasound is not definitely seen on the prior CT.OTHER: No significant abnormalities noted.
1.Normal gallbladder and biliary tract with no evidence of cholelithiasis or cholecystitis.2.Mildly complex bilobed renal cyst seen on this ultrasound is not definitely identified on the prior CT. Follow-up is recommended at 6 months to ensure stability.3.Fatty infiltration of the liver. Stable hepatic cysts.