History of gallbladder wall thickening seen on recent chest CT. LIVER: The liver measures 15.5 cm in length. The liver parenchymal echotexture is normal. Multiple small hepatic cystic lesions likely represent biliary hamartomas. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.18 m/s.BILIARY TRACT: The anterior gallbladder wall is thickened, diffusely echogenic, generates dense shadowing, and generates twinkle artifact. The gallbladder lumen and posterior wall are obscured. This appearance is most likely related to cholesterolosis of the gallbladder wall, however, cholelithiasis cannot be excluded. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 3 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 10.0 cm in length. RIGHT KIDNEY: Kidney measures 10.2 cm in length. Normal echotexture. No hydronephrosis. Small cyst.LEFT KIDNEY: Kidney measures 11.0 cm in length. Normal echotexture. Mild hydronephrosis, not clearly evident on recent chest CT (although kidney only partially visualized on chest CT). Multiple cysts, the largest of which demonstrates minimal internal complexity.OTHER: No significant abnormalities noted.
1.Findings suggestive of gallbladder cholesterolosis. Gallbladder lumen and posterior wall obscured, and cholelithiasis not excluded.2.Mild left hydronephrosis, possibly new.Findings discussed with Dr. Schwartz at 3:50 PM on 12/2/2016.