Reason: Assess liver and gallbladder History: vomiting LIVER: Diffusely echogenic hepatic parenchyma. The liver measures 14.0 cm in length. The portal vein is patent with normal portal venous hepatopedal blood flow, peak velocity 20.6 cm/s.GALLBLADDER, BILIARY TRACT: Several echogenic stones are noted within the gallbladder neck. No evidence of pericholecystic inflammation. The gallbladder wall measures 0.2 cm. The common hepatic duct measures 0.2 cm. No biliary ductal dilatation. Negative sonographic Murphy's sign.PANCREAS: Obscured by bowel gas.RIGHT KIDNEY: The right kidney measures 10.5 cm in length. Echogenic renal parenchyma. No hydronephrosis, masses, or stones.LEFT KIDNEY: The left kidney measures 10.0 cm in length. Echogenic renal parenchyma. No hydronephrosis, masses, or stones.OTHER: No ascites. The spleen measures 8.8 cm in length.
1. Echogenic renal parenchyma, consistent with medical renal disease or parenchymal dysfunction.2. Echogenic hepatic parenchyma, consistent with hepatic steatosis or parenchymal dysfunction.3. Cholelithiasis without evidence of acute inflammation.