Reason: evaluate for gallstones History: RUQ pain and bloating, worse after eating LIVER: Liver is normal in size, measuring 14 cm in length. Coarse hepatic echotexture is noted. No focal hepatic lesion is identified.GALLBLADDER, BILIARY TRACT: Cholelithiasis. No gallbladder wall thickening, pericholecystic fluid. Sonographic Murphy sign is clinical.PANCREAS: Pancreatic head and tail is obscured by overlying bowel gas. Visualized pancreas is unremarkable.RIGHT KIDNEY: Right kidney measures 9.6 cm in length. No renal stones, mass, or hydronephrosis.OTHER: No significant abnormalities noted.
1.Cholelithiasis. Equivocal sonographic Murphy sign. No specific signs of cholecystitis.2.Coarse hepatic echotexture; correlate with liver function tests to exclude hepatic parenchymal dysfunction.