Male 68 years old Reason: transplant kidney eval, cholecsytitis, free fluid, infrarenal aneurysm as best as able History: ruq abdominal pain, h/o renal transplant and 3 cm infrarenal aortic aneurysm and cholelithiasis LIVER: Liver measures 18.2 cm, enlarged. No focal liver lesions.BILIARY TRACT: Significant gallbladder wall thickening with small amount of pericholecystic fluid. There are multiple gallstones. These findings are compatible with acute cholecystitis. No evidence of intra or extrahepatic biliary dilatation.PANCREAS: Not well visualized due to overlying bowel gas.SPLEEN: Spleen measures 10.8 cm.RIGHT KIDNEY: No evidence of hydronephrosis bilaterally. Right iliac fossa transplant kidney measures 11.6 cm, unremarkable. Bilateral native kidneys are not well seen due to their increased echogenicity. 1.5 cm simple cyst within the echogenic left kidney. AORTA:No evidence of aortic aneurysm. IVC:Unremarkable.OTHER: No significant abnormalities noted.
Cholelithiasis with acute cholecystitis.