61-year-old male with sepsis. Previous CT scan was suspicious for cholecystitis. LIVER:The liver measures 18.3 cm. The parenchyma has normal echotexture. No worrisome mass, ascites, or intrahepatic biliary dilation. Limited Doppler of the portal vein shows patency and hepatopedal flow.GALLBLADDER, BILIARY TRACT: There is gallbladder wall thickening and pericholecystic fluid concerning for acute inflammation. There are no stones or sludge. The common bile duct measures 0.5 cm.PANCREAS: Evaluation the pancreas is limited by overlying bowel gas.SPLEEN: The spleen measures 10.7 cm. No abnormalities noted.KIDNEYS: The right kidney measures approximately 10.4 cm. The cortex has increased echogenicity. No worrisome mass or hydronephrosis noted. There is an echogenic focus measuring approximately 0.4 cm consistent with a nonobstructing renal stone. The left kidney cannot be accurately measured. The cortex appears to have increased echogenicity. No worrisome mass, stone or hydronephrosis noted.OTHER: No significant abnormality noted.
1. Sonographic evidence suggestive of acute cholecystitis without calculi or ductal dilatation.2. Increased echogenicity of kidneys consistent with medical renal disease/parenchymal dysfunction. No mass or hydronephrosis noted.3. Nonobstructive nephrolithiasis on the right as above. No hydronephrosis.