Right upper quadrant pain. Status post cholecystectomy and splenectomy in 1987. LIVER: Non-cirrhotic liver morphology. Mildly coarse parenchymal echogenicity. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: Mildly prominent common bile duct, which may reflect prior cholecystectomy. Otherwise no biliary ductal dilation. PANCREAS: Limited evaluation of the pancreas due to partial obscuration by bowel gas. The visualized pancreatic head and neck appear prominent.KIDNEYS: The right kidney is 12.7 cm in length. The left kidney is 12.4 cm in length. No suspicious renal lesions are evident. No hydronephrosis is seen.SPLEEN: Status post splenectomy.OTHER: No significant abnormalities noted. No abdominal free fluid identified.
1. Limited evaluation of the pancreas. However, the visualized pancreatic head and neck appear prominent. If there is clinical and laboratory suspicion for pancreatitis, CT may be considered for further evaluation.2. Mildly coarse hepatic echogenicity, compatible with steatosis. 