53-year-old male patient with history of lymphoma, now with pancreatitis. Evaluate for stones or biliary dilation. Abdominal pain. LIVER: The liver measures 19.2 cm in length and demonstrates increased parenchymal echogenicity. There is a mildly complex right hepatic cyst measuring 1.5 x 1.6 x 1.6 cm. Main portal vein flow is hepatopetal and measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: There are gallstones, but no gallbladder wall thickening, or pericholecystic fluid.. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 4 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate similar echogenicity compared to the prior study. The tail is not visualized secondary to overlying bowel gas.RIGHT KIDNEY: The right kidney measures 11.3 cm in length and demonstrates increased cortical echogenicity. No evidence of hydronephrosis. OTHER: The left kidney measures 11.6 cm in length and demonstrates increased cortical echogenicity. No evidence of hydronephrosis.The spleen measures 9.4 cm in length.Bilateral pleural effusions are noted. Free fluid is noted in the pelvis.
1. Cholelithiasis without sonographic evidence of acute cholecystitis.2. Echogenic hepatic parenchyma which can be seen with hepatic parenchymal dysfunction/hepatic steatosis.3. Echogenic kidneys suggestive of medical renal disease.4. Bilateral pleural effusions and pelvic ascites. 