79-year-old female patient with gallbladder wall thickening on CT. LIVER: The liver measures 15.4 cm in length. No focal hepatic lesion is identified Hepatic parenchyma echogenicity is mildly heterogeneous. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: The gallbladder contains numerous shadowing gallstones. There is no pericholecystic fluid or gallbladder wall thickening. Sonographic Murphy's sign is negative. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 6 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 9.9 cm in length. No evidence of hydronephrosis. Renal cortical echogenicity is slightly increased.OTHER: The left kidney measures 9.9 cm in length. No evidence of hydronephrosis. Renal cortical echogenicity is slightly increased. There is a 4.1 x 4.3 x 4.3 cm left upper pole simple renal cyst.The spleen measures 8.5 cm in length.
1. Cholelithiasis without sonographic evidence of acute cholecystitis.2. Medical renal disease and simple left upper pole renal cyst.