35-year-old female complains of abdominal pain. She has an elevated gtt. Evaluate for biliary pathology. LIVER:The liver measures 16.8 cm. There is coarse, increased, and heterogeneous echotexture of the liver. No masses or ascites. No intrahepatic biliary dilation. The portal vein is patent with normal hepatopedal flow.GALLBLADDER, BILIARY TRACT: The gallbladder is nondistended. No evidence of stones or sludge. The gallbladder wall measures approximately 2.9 mm. No pericholecystic fluid. The common bile duct measures approximately 2.7 mm.PANCREAS: Evaluation of the pancreas limited by overlying bowel gas.SPLEEN: The spleen measures 7.9 cm. No radiographic abnormalities are noted.KIDNEYS: The right kidney measures 11.1 cm. The cortex has normal echogenicity. No shadowing calculi or hydronephrosis. The left kidney measures 11.4 cm. The cortex has normal echogenicity. No shadowing calculi or hydronephrosis. OTHER: No significant abnormality noted.
1. Coarse, increased, and heterogeneous echotexture of the liver consistent with chronic liver disease/parenchymal dysfunction. No masses or ascites.2. No biliary pathology such as cholelithiasis noted.