Reason: Biliary obstruction, infection History: Elevated LFTs, concern for stones. LIVER: The liver measures 18 cm in craniocaudal dimension. The liver is heterogeneous in echotexture likely due to fatty infiltration. In the left lobe of the liver, there is a 1.4 x 1 x 1.3 cm hepatic cyst.GALLBLADDER, BILIARY TRACT: Cholelithiasis. No pericholecystic fluid or gallbladder wall thickening. No intrahepatic or extra hepatic biliary ductal dilatation. The common hepatic duct measures 2 mm.PANCREAS: The visualized pancreas is within normal limits. The distal tail is predominantly obscured by overlying bowel gas.KIDNEYS: The right kidney measures 8.3 cm. The left kidney measures 9.3 cm. Corticomedullary differentiation is normal. No hydronephrosis.SPLEEN: The spleen measures 8.5 cm. No focal splenic lesion.OTHER: No significant abnormalities noted.
1.Heterogeneous liver likely due to fatty infiltration.2.Cholelithiasis without evidence of acute cholecystitis.3.No biliary ductal dilatation.