History of chronic cholecystitis. Examination is extremely limited by patient body habitus.LIVER: Non-cirrhotic liver morphology. Increased parenchymal echogenicity suggestive of parenchymal dysfunction. No focal hepatic lesions. Normal portal venous blood flow direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Layering small gallstones noted, without specific evidence of cholecystitis.PANCREAS: The pancreas is obscured by bowel gas.KIDNEYS: The right kidney is 13.7 cm in length. The left kidney is 13.5 cm in length. No suspicious renal lesions are evident. No hydronephrosis is seen.SPLEEN: 11.7 cm in length, without focal lesions evident.OTHER: No significant abnormalities noted.
1. Limited examination due to patient's body habitus.2. Cholelithiasis without specific evidence of cholecystitis.3. Increased hepatic echogenicity suggestive of parenchymal dysfunction.