73-year-old female patient with abdominal pain with lipase elevation. Evaluate for bleed, inflammation. LIVER: The liver measures 16.8 cm in length and demonstrates increased parenchymal echogenicity. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: The gallbladder is filled with stones. No significant pericholecystic fluid or gallbladder wall thickening is identified. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 2 mm in diameter.PANCREAS: A majority of the pancreas is not visualized secondary to overlying bowel gas.RIGHT KIDNEY: The right kidney measures 11.0 cm in length. No evidence of hydronephrosis. There is a 1.5 x 1.6 cm right upper pole renal cyst.OTHER: The left kidney measures 11.1 cm in length. No evidence of hydronephrosis.The spleen is not visualized on this examination.
1. Increased hepatic parenchymal echogenicity, which is likely related to hepatic steatosis.2. Poorly visualized pancreas; contrast enhanced CT is better means of evaluation for pancreatitis.3. Cholelithiasis without sonographic evidence of acute cholecystitis.4. Right renal cyst.