57-year-old female patient with intermediate sharp right upper quadrant abdominal pain. LIVER: The liver measures 16.2 cm in length. No focal hepatic lesion is identified. GALLBLADDER, BILIARY TRACT: The gallbladder is filled with shadowing stones. Sonographic Murphy's sign is negative. There is no significant gallbladder wall thickening or pericholecystic fluid. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 3 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 7.2 cm in length and demonstrates increased cortical echogenicity. No evidence of hydronephrosis. A 0.9 cm anechoic lesion is noted within the right midpole.OTHER: The left kidney measures 6.2 cm in length and demonstrates increased cortical echogenicity. No evidence of hydronephrosis.The spleen measures 7.0 cm in length.
1. Cholelithiasis without sonographic evidence of acute cholecystitis.2. Right renal cyst.