Refractory abdominal pain LIVER: Non-cirrhotic liver morphology. Normal parenchymal echogenicity. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. A 4 mm non-shadowing non-mobile echogenic focus in the gallbladder may represent a gallbladder polyp or adherent stone. Otherwise unremarkable appearance of the gallbladder. No sonographic Murphy's sign.PANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 9.9 cm in length. The left kidney is 9.8 cm in length. No suspicious renal lesions are evident. No hydronephrosis is present.SPLEEN: 9.8 cm in length, without focal lesions evident.OTHER: No significant abnormalities noted.
4 mm echogenic focus in the gallbladder may represent a gallbladder polyp or adherent stone. Ultrasound follow-up in 6-12 months is recommended to assess stability.