49-year-old female with abdominal pain, evaluate for biliary tree obstruction, liver pathology. LIVER: Measures 16.5 cm in length. 1.0 cm circumscribed hyperechoic focus in the left hepatic lobe consistent with a hemangioma.GALLBLADDER, BILIARY TRACT: A large nonmobile gallstone is present in the gallbladder neck. The gallbladder is filled with sludge and mildly distended. There is gallbladder wall thickening and trace abdominal ascites. There is no biliary ductal dilation.PANCREAS: No significant abnormalities noted.KIDNEY: The right kidney measures 11.6 cm without hydronephrosis. The left kidney is not clearly visualized due to patient body habitus and bowel gas.OTHER: No significant abnormalities noted.
1. Findings consistent with acute cholecystitis. 2. Nonvisualization of the left kidney due to patient body habitus and bowel gas. 