Alcohol abuse. Right upper quadrant epigastric pain. LIVER: Non-cirrhotic liver morphology. 14 cm in length. Normal parenchymal echogenicity. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Subcentimeter gallstones are noted, without wall thickening or pericholecystic fluid to suggest cholecystitis. No sonographic Murphy's sign.PANCREAS: Calcifications throughout the pancreas, compatible with the patient's known history of chronic pancreatitis. The main pancreatic duct is dilated up to 14 mm, similar to the prior CT in 2013. KIDNEYS: The right kidney is 9.5 cm in length. The left kidney is 8.8 cm in length. No suspicious renal lesions are evident. No hydronephrosis is seen.SPLEEN: 8.9 cm in length, without focal lesions evident.OTHER: No significant abnormalities noted. No abdominal fluid collections are identified.
1. Cholelithiasis without specific evidence of cholecystitis.2. Calcifications throughout the pancreas compatible with chronic pancreatitis, with stable pancreatic ductal dilation.