RUQ pain. LIVER: Non-cirrhotic liver morphology. 17.6 cm in length. Mildly heterogeneous hepatic echogenicity. Unchanged hepatic cyst. No suspicious hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Biliary sludge and subcentimeter gallstones, without specific evidence of cholecystitis.PANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 12.1 cm in length. The left kidney is 11.6 cm in length. No suspicious renal lesions are evident. No hydronephrosis is seen.SPLEEN: 9.7 cm in length, without focal lesions evident.OTHER: No significant abnormalities noted.
1. Cholelithiasis without cholecystitis.2. Hepatomegaly with echogenicity suggestive of steatosis.