Male 63 years old Reason: 63 yo with cirrhosis, RUQ pain R/o cholelithiasis and possible ascites History: RUQ pain LIVER: Increased echogenicity of liver without change. Liver measures 15.1 cm. No focal mass. Main portal vein is patent with normal directional flow velocity of 13 cm/s.BILIARY TRACT: No intra or extrahepatic biliary ductal dilatation. Common bile duct measures 4 mm. The gallbladder is visualized and echogenic focus along the nondependent portion of the gallbladder wall, which may represent adenomyomatosis versus a small adherent stone. No evidence of acute inflammation of the gallbladder. No other gallstones are identified.PANCREAS: Visualized portions of the pancreas are normal.SPLEEN: Spleen is within normal limits measuring 10.5 cm.KIDNEYS: Normal cortical echogenicity bilaterally. No hydronephrosis. Subcentimeter nonobstructing stone in the inferior portion of the right kidney measures 0.6 x 0.3 x 0.4 cm, similar to the prior exam. Nonobstructing stone in the inferior left kidney measures 1.0 x 0.4 x 0.8 cm.OTHER: No ascites.
1.No evidence of acute cholecystitis. Focal echogenic area in the gallbladder may represent adenomyomatosis versus a small adherent stone. No other shadowing gallstones are identified. 2.Nonobstructing bilateral renal stones measuring up to 1.0 cm.3.Unchanged morphology and echogenicity of the liver . No suspicious masses are identified.