Reason: cholecystitis? History: RUQ pain, elevated white blood cell count LIVER: The liver measures 17.4 cm in length. Mildly coarse echotexture and. No intrahepatic or extrahepatic biliary ductal dilatation. Normal hepatopedal portal venous blood flow. Portal venous flow = 34.1 cm/second.GALLBLADDER, BILIARY TRACT: The gallbladder is mildly distended. Cholelithiasis, one of which is within the gallbladder neck (measures 24 mm), with possible small volume layering sludge. The gallbladder wall measures 1 mm. The common bile duct measures 7 mm, borderline dilated. No intrahepatic biliary duct dilatation appreciated. No pericholecystic fluid or gallbladder wall thickening. Negative sonographic Murphy's sign.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: The right kidney measures 12.6 cm in length. No hydronephrosis.LEFT KIDNEY: The left kidney measures 11.3 cm in length. No hydronephrosis.SPLEEN: The spleen measures 8.6 cm in length.OTHER: No significant abnormalities noted.
1. Mildly distended gallbladder with cholelithiasis, one located in the gallbladder neck measures 24 mm, no evidence of acute cholecystitis.