Reason: RUQ pain, rule out GB stone, pancreatitis LIVER: Coarse, heterogeneous liver echotexture, consistent with parenchymal dysfunction/hepatic steatosis. The liver measures 16.6 cm in length. The portal vein is patent with normal portal venous hepatopedal blood flow, maximum flow 31.6 cm/s. No nodules or masses.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted. The proximal common bile duct measures 0.2 cm. The gallbladder wall measures 0.2 cm. No biliary ductal dilatation. No stones within the gallbladder or evidence of cholecystitis.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: The right kidney measures 10.8 cm in length. No hydronephrosis.LEFT KIDNEY: The left kidney measures 10.7 cm in length. No hydronephrosis.SPLEEN: The spleen measures 12.0 centers in length.OTHER: No significant abnormalities noted. No ascites.
Findings consistent with hepatic parenchymal dysfunction or hepatic steatosis. No findings to support cholelithiasis or cholecystitis.