42 year-old female with Murphy's, questionable wall thickness, positive stone. Evaluate for cholecystitis. LIVER: Increased echogenicity of the liver measuring 13.6 cm in length. No focal hepatic lesions. Main portal vein is patent with appropriate directional flow; peak velocity measures 0.4 m/sec.GALLBLADDER, BILIARY TRACT: Normal echogenicity of the gallbladder. No gallbladder wall thickening. No pericholecystic fluid. Common duct measures 5 mm in thickness. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Distal tail of the pancreas is obscured by overlying bowel gas. The remaining visualized portions are unremarkable.RIGHT KIDNEY: Measures 9.0 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Left kidney measures 8.2 cm in length. No hydronephrosis or shadowing calculi are noted.Normal echogenicity of the spleen measuring 6.6 cm in length.
Increased echogenicity of the liver suggestive of parenchymal dysfunction/fatty infiltration. No sonographic evidence of cholelithiasis or cholecystitis. 