62-year-old female with multiple known gallstones, now with persistent right upper quadrant pain for past week. Evaluate for cholecystitis LIVER: Multiple hepatic hypoechoic lesions are identified. The largest of these measures 1.8 x 1.9 x 2.1 cm with posterior acoustic enhancement and no internal vascularity. Additional hypoechoic hepatic lesions with questionable peripheral vascularity. Main portal vein is patent with peak systolic velocity of 0.3 m/s. GALLBLADDER, BILIARY TRACT: Cholelithiasis with gallbladder wall measuring 0.3 cm without evidence of pericholecystic fluid. Common hepatic duct measures 0.5 cm in diameter.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: The kidneys are normal in echotexture with the right kidney measuring 11.1 cm and left kidney measuring 11.4 cm in length.OTHER: No significant abnormalities noted.
1.Cholelithiasis without specific findings to suggest cholecystitis.2.Multiple indeterminate hepatic hypoechoic lesions. Further evaluation with dedicated liver protocol CT or MR examination is recommended.