57-year-old female patient with history of pancreatitis. Evaluate for gallstones, pancreas, biliary ductal dilatation. LIVER: The liver measures 18.0 cm in length and demonstrates a mildly coarsened echotexture. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.2 m/s. A trace amount of perihepatic fluid is identified.GALLBLADDER, BILIARY TRACT: There is biliary sludge and small gallstones near the gallbladder neck. There is no intra or extrahepatic biliary ductal dilatation. The common bile duct measures 6 mm in diameter. Sonographic Murphy's sign is negative.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: The right kidney measures 11.5 cm in length. No evidence of hydronephrosis. A small simple cyst is noted.OTHER: The spleen measures 11.5 cm in length.The left kidney measures 11.5 cm in length. No evidence of hydronephrosis. A small simple cyst is noted.
1. Cholelithiasis without sonographic evidence of acute cholecystitis.2. Trace perihepatic fluid.