30 year-old female right upper quadrant pain. The study is slightly limited due to the patient's body habitus and resulting poor ultrasound penetration.LIVER: The liver parenchyma is mildly coarse and echogenic without a discrete lesion or definite intrahepatic biliary ductal dilatation. It is normal in size, measuring 14.5 cm in craniocaudal dimension. The liver capsule is within normal limits. Normal hepatopetal portal venous blood flow at 20 cm/sec.BILIARY TRACT: No extrahepatic biliary ductal dilatation with the common bile duct measuring 2 mm. Normally distended gallbladder without gallstones, wall thickening, pericholecystic fluid or focal tenderness.PANCREAS: Limited evaluation of the pancreatic head is unremarkable.SPLEEN: The spleen measures 10.5 cm in length.RIGHT KIDNEY: The right kidney measures 10.7 cm in length without hydronephrosis. OTHER: The left kidney measures 10 cm in length without hydronephrosis.
No cholelithiasis or other specific findings to account for the patient's symptoms. Mildly coarse liver parenchyma may represent diffuse fatty infiltration/parenchymal dysfunction. 