69-year-old male patient in ICU, AMS, septic shock without a source. Evaluate for acalculous cholecystitis and ascites. Limited evaluation secondary to patient body habitus.LIVER: The liver measures 15.5 cm in length. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: The gallbladder is mildly hydropic measuring up to 13 cm. There are no gallstones. The gall bladder wall measures approximately 4 mm in thickness. There is no intrahepatic biliary ductal dilatation. The common duct measures 12 mm in diameter, similar to a recent CT.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 7.6 cm in length. No evidence of hydronephrosis. OTHER: The left kidney and spleen are poorly visualized.There is trace ascites.
1. Mildly hydropic gallbladder. 2. Trace ascites.