Painless jaundice LIVER: Coarse echogenic liver echotexture without mass. 20.8 cm in lengthGALLBLADDER, BILIARY TRACT: Sludge and stones within the gallbladder without acute inflammation. Moderately severe bilobar intrahepatic ductal dilatation associated with abnormal extrahepatic ductal dilatation. Maximal diameter of common bile duct 1.6 cm. The distal aspect of the common bile duct is obscured by overlying gasPANCREAS: Obscured by overlying gasRIGHT KIDNEY: No significant abnormalities noted. 11 cm in lengthOTHER: Left kidney 12.8 cm in length. Spleen 11.8 cm in length. No ascites.
Moderately severe bilobar intrahepatic ductal dilatation associated with abnormal extra hepatic duct dilatation. The distal aspect of the common bile duct is obscured by overlying gas as is the pancreas; a distal obstructing lesion must be excluded. Would recommend correlation with CT or MR.Hepatomegaly with coarse echogenic liver echotexture suggestive for fatty infiltration/parenchymal dysfunction without discrete mass. No ascites.