28-year-old female with abdominal pain. Question of gallstones. LIVER: The liver measures 17.4 in length. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones or gallbladder wall thickening. Sonographic Murphy's sign is negative. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 2 mm in diameter.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 10.8 cm in length. No evidence of hydronephrosis. Renal cortical echogenicity is increased.OTHER: The left kidney measures 10.1 cm in length. No evidence of hydronephrosis. Renal cortical echogenicity is increased.The spleen measures 7.4 cm in length.There is mild to moderate ascites, most predominantly within the lower quadrants.Left pleural effusion.
1. No cholelithiasis or sonographic evidence of acute cholecystitis.2. Mild to moderate lower abdominal predominant ascites.3. Medical renal disease.4. Left pleural effusion.