87-year-old female patient with right upper quadrant pain. Evaluate for gallstones. LIVER: The liver measures 13.7 cm in length. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: There is echogenic material with shadowing in the gallbladder fossa which likely represents the gallbladder with stones. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 2 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: There is a 3.0 x 3.3 x 4 cm right renal cyst. No evidence of hydronephrosis. OTHER: The left kidney measures 10.2 cm in length. No evidence of hydronephrosis. There is a 1.7 x 1.4 cm lower pole renal cyst.The spleen measures 5.1 cm in length.There is a right pleural effusion.
1. Echogenic material and shadowing within the gallbladder fossa which likely represents cholelithiasis.2. Bilateral renal cysts. 3. Right pleural effusion.