55 years old, Male, Reason: 55 y/o male hx of AML with worsening right-sided and radiating abdominal pain x 5 days, question of gallstones History: Right sided and radiating abdominal pain upon palpation and with movement Suboptimal ultrasound evaluation to patient's body habitus.LIVER: The liver is mildly increased in size measuring 19.1 cm in length. Increased parenchymal echogenicity suggestive of fatty infiltration. The main portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. Per the ultrasound technologist, the sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 3 mm in diameter.PANCREAS: Pancreas is not well visualized on the study.SPLEEN: No significant abnormalities noted. The spleen measures 14.8 cm in length. RIGHT KIDNEY: Kidney measures 13.7 cm in length. No evidence of hydronephrosis.LEFT KIDNEY: Kidney measures 15.2 cm in length. No evidence of hydronephrosis.
1.Limited examination due to body habitus. Increased echogenicity of the hepatic parenchyma suggestive of fatty infiltration. 2.Normal gallbladder and biliary tract with no evidence of cholelithiasis or acute cholecystitis.