Male 65 years old Reason: assess for cholecystitis History: rising lft, septic shock now in ards LIVER: The liver measures 17.5 cm in length. There is mildly coarsened echogenicity. The main portal vein is patent, demonstrating hepatopetal flow at 0.2 m/sec. The hepatic artery is patent.BILIARY TRACT: There is a small amount of sludge/non-shadowing stones within the gallbladder neck. There is no evidence of gallbladder wall thickening. The common duct measures 5 mm in maximal diameter and there is no evidence of choledocholithiasis.PANCREAS: No significant abnormality noted. Mild prominence of pancreatic duct again seen.SPLEEN: The spleen measures 7.4 cm in length.RIGHT KIDNEY: The right kidney measures 11.6 cm in length without hydronephrosis., shadowing calculus or discrete lesion evident.OTHER: The left kidney measures 11.9 cm in length without hydronephrosis, shadowing calculus or discrete lesion evident. Bilateral pleural effusions unchanged. New moderate volume ascites.
1. Biliary sludge and possible non-shadowing gallstones within the gallbladder neck, without evidence of cholecystitis.2. Stable bilateral pleural effusions and new moderate volume ascites.