Reason: Acute abdominal pain; assess for cholecystitis. Examination limited by motion and difficulty positioning patient.LIVER: The liver measures 16.9 cm in length. The liver demonstrates increased parenchymal echogenicity with coarsened echotexture. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.28 m/s.BILIARY TRACT: No cholelithiasis or significant gallbladder wall thickening. The sonographic Murphy's sign is not well assessed. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4.6 mm in diameter.PANCREAS: Not visualized due to bowel gas.SPLEEN: No significant abnormalities noted. The spleen measures 12.3 cm in length. RIGHT KIDNEY: Atrophic, echogenic kidney measuring 9.8 cm in length. No hydronephrosis.LEFT KIDNEY: Atrophic, echogenic kidney measuring 9.2 cm in length. No hydronephrosis.OTHER: Mild upper abdominal ascites.
1.No sonographic evidence of acute cholelithiasis or biliary ductal dilatation.2.Atrophic echogenic native kidneys compatible with medical renal disease.3.Increased hepatic echogenicity suggestive of parenchymal dysfunction/fatty infiltration.4.Mild upper abdominal ascites.