28-year-old female with conjugated hyperbilirubinemia who presents with evaluation for hepatobiliary pathology LIVER: The liver is normal in echogenicity and measures 21 cm in length.BILIARY TRACT: No intra or extrahepatic biliary ductal dilatation. The common bile duct measures 0.3 cm in diameter. There is a septated complex fluid collection inferior to the liver, adjacent to the gallbladder. Pericholecystic fluid and gallbladder wall thickening measuring 5 mm is most likely secondary to the adjacent fluid collection. No evidence of cholelithiasis.PANCREAS: No significant abnormalities noted.SPLEEN: The spleen is normal in echogenicity and measures 10.6 cm in length.KIDNEYS: The right kidney measures 12.3 cm in length and the left kidney measures 13.9 cm in length without evidence of hydronephrosis. OTHER: Partially visualized right pleural effusion.
1.Complex pericholecystic fluid collection adjacent to the gallbladder. 2.Edematous gallbladder wall is likely secondary to the adjacent complex fluid collection as above.3.Partially visualized right pleural effusion.4.Hepatomegaly.