57 year-old female with provided history of acute pancreatitis. Evaluate for gallstones. LIVER: The liver is normal in morphology without a discrete focal lesion or intra-hepatic biliary ductal dilatation. The parenchyma is slightly coarse in echotexture. There is normal hepatopetal portal venous blood flow. The velocity is slightly elevated at 54 cm/sec.GALLBLADDER, BILIARY TRACT: No extrahepatic biliary ductal dilatation with the common bile duct measuring 5 mm. Normally distended gallbladder with a 5 mm shadowing gallstone. There is no gallbladder wall thickening or pericholecystic fluid.PANCREAS: Partially visualized pancreatic parenchyma is enlarged and decreased in echogenicity compatible with edema and acute pancreatitis. No parapancreatic fluid collection is visualized.RIGHT KIDNEY: The right kidney is normal in size, measuring 10.2 cm in length without hydronephrosis, shadowing calculus or discrete lesion evident.OTHER: The spleen is normal in size, measuring 11.5 cm. The left kidney is normal in size, measuring 7.8 cm without hydronephrosis or shadowing calculus. There is a 9-mm hypoechoic lesion within the superior aspect of the kidney, incompletely characterized.
1. Cholelithiasis without evidence of acute cholecystitis.2. Coarsened hepatic echotexture may reflect parenchymal dysfunction.3. Edematous and enlarged partially visualized pancreas, compatible with acute pancreatitis.4. Incompletely characterized 9-mm left superior pole lesion.