49-year-old male with metastatic lung cancer, on Alectinib. CT showed mild diffuse gallbladder wall thickening suggestive of acute inflammation. LIVER: Measures 14.3 cm in length with multiple bilobar hepatic metastatic lesions similar to recent CT study. Main portal vein is patent with appropriate directional flow; peak velocity measures 0.2 m/s.GALLBLADDER, BILIARY TRACT: Normal echogenicity of the gallbladder. Gallbladder wall thickening is noted measuring 8 mm in thickness. No pericholecystic fluid. Sonographic Murphy sign is negative. Common duct measures 3 mm in caliber. No intra-or extrahepatic biliary ductal dilatation. PANCREAS: Tail of the pancreas is obscured by overlying bowel gas. The remaining visualized portions are unremarkable.RIGHT KIDNEY: Measures 9.4 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Left kidney measures 10.2 cm in length. No hydronephrosis or shadowing calculi are noted.Spleen measures 11.3 cm in length and is normal in echogenicity.
1. Gallbladder wall thickening may represent chronic cholecystitis. No evidence of acute cholecystitis. 2. Multiple bilobar hepatic metastatic lesions similar to recent CT. 