48 year old female with right upper quadrant pain. Evaluate for cholecystitis, cholelithiasis LIVER: Slight coarse echotexture of the liver measuring 17.0 cm in length. No focal hepatic lesions. Portal vein is patient with appropriate directional flow; peak velocity measures 0.3 m/s. GALLBLADDER, BILIARY TRACT: Normal echogenicity of the gallbladder. No shadowing calculi are noted. No pericholecystic fluid. No gallbladder wall thickening. Sonographic Murphy's sign is negative. No intra or extrahepatic biliary ductal dilatation. PANCREAS: Visualized portions of the pancreas are normal in echogenicity. No pancreatic ductal dilatation.RIGHT KIDNEY: Normal echogenicity measuring 11.2 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Normal echogenicity of the spleen measuring 8.0 cm in length.Left kidney measures 11.5 cm in length. Upper pole of the left kidney is not visualized however the remaining visualized kidney appears normal in echogenicity. No hydronephrosis or shadowing calculi are noted.
Coarse echotexture of the liver suggestive of parenchymal dysfunction/fatty infiltration. No evidence of cholelithiasis or cholecystitis. 