45-year-old male with epigastric pain after fatty foods, rule out gallstones or other etiology. LIVER: Diffuse increased echogenicity of the liver measuring 16.2 cm in length suggestive of fatty infiltration. No focal hepatic lesions. No intrahepatic biliary ductal dilatation.GALLBLADDER, BILIARY TRACT: Scattered echogenic foci throughout the gallbladder wall with comet tail artifact compatible with adenomyomatosis. No sludge or gallstones. No pericholecystic fluid or gallbladder wall thickening is noted. Sonographic Murphy's sign is negative. The common duct measures 2 mm in caliber.PANCREAS: The distal body and tail of the pancreas are obscured by overlying bowel gas. The remaining visualized pancreas is normal in echogenicity. No pancreatic ductal dilatation.RIGHT KIDNEY: The right kidney measures 10.0 cm in length with no hydronephrosis or nephrolithiasis.OTHER: The left kidney measures 12.4 cm in length. There is an exophytic cyst measuring 6 mm x 6 mm x 5 mm. Otherwise the kidney is normal in echogenicity with no hydronephrosis or nephrolithiasis. The spleen measures 11.8 cm in length and is normal in echogenicity..
1. Findings suggestive of hepatic steatosis. 2. Adenomyomatosis of the gallbladder. 3. Exophytic left renal cyst. 