82-year-old male patient with right upper quadrant pain, gram-negative bacteremia. Evaluate gallbladder. LIVER: The liver measures 17.0 cm in length. Hepatic parenchymal echogenicity is coarsened and increased. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones, 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 9.6 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 9.7 cm in length. No evidence of hydronephrosis.The spleen measures 6.1 cm in length.
1. Coarsened hepatic echogenicity which can be seen with hepatic parenchymal dysfunction.2. No cholelithiasis.