Reason: known gallstone with intermittent abdominal pain LIVER: The liver measures 12.3 cm in length. Unremarkable hepatic parenchyma. The portal vein is patent with normal directional hepatopedal flow, peak velocity 19.7 cm/s. No focal mass.GALLBLADDER, BILIARY TRACT: There is a shadowing echogenic stone in the neck of the gallbladder without evidence of acute inflammation. No pericholecystic fluid or gallbladder wall thickening. The gallbladder wall measures 0.3 cm. The common bile duct measures 0.3 cm. No biliary ductal dilatation.PANCREAS: Obscured by bowel gas.RIGHT KIDNEY: The right kidney measures 9.3 cm in length. No shadowing stones or hydronephrosis.LEFT KIDNEY: The left kidney measures 9.8 cm in length. No shadowing stones or hydronephrosis.OTHER: No ascites. The bladder is unremarkable and ureteral jets are visualized bilaterally. The spleen measures approximately 9 cm in length.
Cholelithiasis without evidence of acute inflammation or biliary ductal dilatation.