53-year-old male with metastatic pancreatic carcinoma with persistent right upper quadrant pain. LIVER: Diffusely heterogeneous with multiple masses consistent with metastatic disease. Hepatomegaly.GALLBLADDER, BILIARY TRACT: Gallbladder is noted to be thick-walled which is non--- septic in the face of ascites. No shadowing gallstones. Trace of pericholecystic fluid is also nonspecific. Patient was not tender over the gallbladder during the exam.PANCREAS: Limited with mass in or adjacent to the pancreatic head.RIGHT KIDNEY: Echogenic without hydronephrosisOTHER: Splenomegaly. Left kidney echogenic without hydronephrosis.Ascites.
Nonspecific gallbladder wall thickening with moderate ascites.Hepatosplenomegaly.Echogenic kidneys.