22 years old, Male, Reason: evaluate gallbladder, ducts History: RUQ pain LIVER: The liver measures 17.3 cm in length. Echogenicity of the liver is borderline increased. No focal hepatic lesion identified. The main portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.3 m/s.BILIARY TRACT: Gallbladder sludge and possible small gallstones are present. Per ultrasound technologist, negative sonographic Murphy's sign. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct is mildly prominent measuring 7 mm in diameter. There is minimal tapering of the common bile duct at the midportion. The distal common bile duct is not well assessed on this exam and choledocholithiasis at this level cannot be entirely excluded.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 9 cm in length. RIGHT KIDNEY: Kidney measures 10.7 cm in length. No hydronephrosis.LEFT KIDNEY: Kidney measures 10.3 cm in length. No hydronephrosis.
1.Gallbladder sludge and possible small gallstones without evidence of acute cholecystitis.2.Distal common bile duct not well assessed, as above.