57 years old, Female, Reason: 57 yo F with intermittent RLQ abdominal pain x weeks with CT showing concerns for cholecystitis. Pls aid in eval of acute vs. chronic cholecystitis. History: intermittent RLQ pain LIVER: The liver measures 14.1 cm in length. Mildly increased hepatic parenchymal echogenicity is consistent with fatty infiltration. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s.BILIARY TRACT: Multiple gallstones are present within the gallbladder. Gallbladder wall is hypovascular is mildly thickened measuring 5 mm. The sonographic Murphy's sign is negative. No intrahepatic biliary ductal dilatation is present. The common bile duct measures 8 mm in diameter. No evidence of pericholecystic fluid.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 9.7 cm in length. RIGHT KIDNEY: Kidney measures 10.3 cm in length. Normal echotexture of the right kidney. Nohydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 9.7 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted.
Cholelithiasis without definite evidence of acute cholecystitis. However findings may represent chronic cholecystitis.