20 year-old male with acute pancreatitis and right upper quadrant pain. Evaluate for biliary duct stone or biliary ductal dilatation. LIVER: The liver is normal in morphology, echogenicity and size, measuring 18 cm in craniocaudal dimension. Normal hepatopetal portal venous blood flow with velocity measuring 20 cm/sec. No intrahepatic biliary ductal dilatation.BILIARY TRACT: A normally distended gallbladder is present without wall thickening, gallstones, pericholecystic fluid, or focal tenderness. No extrahepatic biliary ductal dilatation with the common bile duct measuring 5 mm.PANCREAS: Evaluation of the pancreas is limited to the pancreatic head due to overlying bowel gas shadowing. The visualized portion of the pancreas is unremarkable.SPLEEN: The spleen is normal in morphology, echogenicity and size, measuring 11.5 cm in length.RIGHT KIDNEY: The right kidney measures 10.5 cm in length without hydronephrosis or shadowing calculus. OTHER: The left kidney measures 12 cm in length without hydronephrosis or shadowing calculus.
No biliary ductal dilatation or other specific finding to account for the patient's right upper quadrant pain. Limited evaluation of the pancreas due to overlying bowel gas.