73 year-old female with abdominal pain and pancreatitis. Are there gallstones? LIVER: Increased echogenicity of the liver is nonspecific, but can be seen in hepatic steatosis. Moderate hepatomegaly. The liver measures 21.2 cm in diameter. Portal vein flow is hepatopetal. Small amount of ascites.GALLBLADDER, BILIARY TRACT: Note is made of numerous punctate dependent gallstones within the gallbladder, including the body and gallbladder neck. There is mild nonspecific gallbladder wall thickening, measuring 3 mm in diameter. Sonographic Murphy sign is negative. The common duct measures 3 mm in diameter. No common duct stones are seen. PANCREAS: The pancreas appears slightly enlarged with decreased echogenicity consistent with the stated history of pancreatitis. The pancreas is partially obscured by overlying bowel gas.RIGHT KIDNEY: No significant abnormalities noted.OTHER: Foley catheter in place.
1. Findings consistent with the stated history of acute pancreatitis.2. Hepatomegaly with a small amount of ascites.3. Increased echogenicity of the liver is nonspecific, but can be seen in hepatic steatosis.4. Gallstones without evidence of acute cholecystitis.