37-year-old female patient with right upper quadrant pain worse after eating. Question of cholecystitis. LIVER: The liver measures 22.1 cm in length and demonstrates mildly increased parenchymal echogenicity. No focal hepatic lesion is identified. Main portal vein is patent with hepatopetal flow.BILIARY TRACT: There is no intra or extrahepatic biliary ductal dilatation. The common bile duct is nondilated measuring 3 mm in diameter. No gallstones, pericholecystic fluid, or gallbladder wall thickening.PANCREAS: The body and tail of the pancreas is obscured by overlying bowel gas.SPLEEN: The spleen measures 11.6 cm in length.RIGHT KIDNEY: The right kidney measures 10.2 cm in length. No evidence hydronephrosis. There is a subcentimeter right renal cyst. OTHER: The left kidney measures 10.4 cm in length. No evidence hydronephrosis.
1. No sonographic evidence of acute cholecystitis.2. Increased hepatic parenchymal echogenicity suggestive of hepatic steatosis.