61-year-old male with right upper quadrant pain. LIVER: Liver 17 cm in length. No focal hepatic lesions. No intrahepatic biliary ductal dilation. Main portal vein is patent with normal directional flow and peak systolic velocity of 0.3 m/s.GALLBLADDER, BILIARY TRACT: No cholelithiasis. No gallbladder wall thickening or pericholecystic fluid. Negative sonographic Murphy's sign. Normal caliber of the common duct measuring up to 4 mm.PANCREAS: No focal pancreatic lesions in the pancreatic head. The remainder of the pancreas is poorly visualized due to overlying bowel gas.RIGHT KIDNEY: Right kidney is 12.7 cm in length. Left kidney is 12.4 cm in length. Increased nonspecific cortical echogenicity of both kidneys. Moderate left hydronephrosis and bilateral perinephric free fluid, similar to CT from yesterday.OTHER: No significant abnormalities noted.
1. No cholelithiasis or acute cholecystitis.2. Left hydronephrosis, similar to CT from yesterday.3. Increased nonspecific cortical echogenicity of both kidneys, which may be related to medical renal disease.