Male; 31 years old. Reason: 31 y/o M with unexplained nausea, vomiting, RUQ u/s requested to rule out gallstones or other etiology History: as above LIVER: The liver has a smooth contour, the parenchyma is normal in echogenicity. It measures 17.7 cm in length. The main portal vein is patent and demonstrates normal direction of flow with a peak velocity of 20 cm/sec.BILIARY TRACT: The gallbladder is unremarkable with no cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The common bile duct measures 2 mm. There is no intrahepatic biliary ductal dilatation.PANCREAS: The visualized head of the pancreas is unremarkable. The body and tail of the pancreas obscured by overlying bowel gas.SPLEEN: The spleen measures 13.2 cm in length.RIGHT KIDNEY: Right kidney measures 10.6 cm in length. The renal cortex is normal in echogenicity. There is no hydronephrosis. OTHER: The left kidney measures 10.8 cm in length. The renal cortex is normal in echogenicity. There is no hydronephrosis.
No cholelithiasis or other ultrasound finding to explain the patient's symptoms.