Female 24 years old Reason: history of gallstones, presenting with nausea/vomiting. Looking for evidence of cholecystitis History: nausea, vomiting LIVER:There is normal echogenicity and measures 16.0 cm in length. No focal hepatic mass. Main portal vein is patent with normal directional flow and a peak velocity of 29.0 cm/s. GALLBLADDER, BILIARY TRACT: Multiple shadowing gallstones are present within the gallbladder. The gallbladder wall is upper limits of normal measuring 3 mm, likely contracted. No pericholecystic fluid. Negative Murphy's sign. No intra or extrahepatic biliary ductal dilatation. Common bile duct is not well-visualized.PANCREAS: Pancreas is obscured by overlying bowel gas.SPLEEN: Spleen is normal in appearance measuring 7.9 cm.KIDNEYS: Moderate right hydronephrosis. Mildly increased echogenicity of the right renal cortex. Left kidney is normal in appearance measuring 10.5 cm. No left hydronephrosis. Normal left cortical echogenicity.OTHER: No significant abnormality noted.
1.Cholelithiasis without evidence of acute cholecystitis.2.Moderate right hydronephrosis, which is nonspecific and can be physiologic in a pregnant patient. 