Reason: pancreatitis, rule out gallstones History: acute pancreatitis LIVER: The liver measures 15.7 cm in length. The liver parenchymal echotexture is normal. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s.BILIARY TRACT: There is a single rounded, echogenic focus within the gallbladder fundus measuring up to 6 mm in diameter with associated probable twinkle artifact which is favored to represent a single gallstone over a solitary polyp. No gallbladder wall thickening or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 3 mm in diameter.PANCREAS: The pancreatic parenchyma demonstrates mildly decreased echogenicity which is nonspecific but can be seen in pancreatitis. The visualized pancreatic duct is nondilated.SPLEEN: The spleen measures 9.1 cm in length. Scattered echogenic foci within the spleen may reflect calcifications related to prior granulomatous infection.RIGHT KIDNEY: Kidney measures 9.8 cm in length. Normal cortical echotexture. No hydronephrosis, shadowing calculus, or mass. Renal cyst.LEFT KIDNEY: Kidney measures 10.1 cm in length. Normal cortical echotexture. No hydronephrosis, shadowing calculus, or mass. Renal cyst.OTHER: No significant abnormalities noted.
Rounded structure within the gallbladder favored to reflect cholelithiasis rather than polyp. No sonographic evidence of acute cholecystitis or biliary ductal dilatation.