Right upper quadrant pain nausea vomiting and elevated LFTs. The study is limited due to the patient's mental status. The patient was uncooperative and unable to finish the exam.LIVER: The liver parenchyma is echogenic limiting evaluation for a focal lesion. No focal lesion is evident. Normal size measuring 15.8 cm in craniocaudal dimension. Normal hepatopedal portal venous blood flow 0.3 m/s. BILIARY TRACT: Normally distended gallbladder containing a gallstone at the neck. The gallbladder wall measures 3 mm, top normal. Evaluation for focal tenderness was limited by the patient's mental status. No pericholecystic fluid. No biliary ductal dilatation with the common duct measuring 5 mm.PANCREAS: Not visualized.SPLEEN: Not visualized.RIGHT KIDNEY: 9.5 cm in length without hydronephrosis or shadowing nephrolithiasis. OTHER: No significant abnormalities noted.
Limited examination due to patient's mental status and poor cooperation. Echogenic liver may reflect fatty infiltration and/or parenchymal dysfunction. No biliary ductal dilatation. Cholelithiasis without specific sonographic evidence of acute cholecystitis.