Right upper quadrant abdominal pain. LIVER: The liver is mildly echogenic. It measures 15.6 cm in length without a focal lesion or intrahepatic biliary ductal dilatation. Normal hepatopedal portal venous blood flow at 0.2 m/s.BILIARY TRACT: No extrahepatic biliary ductal dilatation with the common duct measuring 2 mm.Normally distended gallbladder without gallstones, wall thickening, pericholecystic fluid or focal tenderness.PANCREAS: The visualized portions of the pancreatic head and body are unremarkable. The remainder of the pancreas is obscured by overlying bowel gas shadowing.SPLEEN: The spleen measures 9.6 cm in length without a focal abnormality.RIGHT KIDNEY: The right kidney measures 10.5 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion. OTHER: The left kidney measures 10.9 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion.
Mildly echogenic liver parenchyma suggestive of diffuse fatty infiltration. No focal liver lesion, biliary ductal dilatation gallstones or gallbladder inflammation.