Male 65 years old; Reason: concorn for gallstone pancreatitis vs biliary colic History: acute on chronic abd pain LIVER: The liver measures 16.2 cm in length. There is increased echogenicity of the liver parenchyma. No focal hepatic lesions. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow measured at 36.8 cm/s. GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 2.5 mm. No stones are seen but there is a minimal amount of sludge. No pericholecystic fluid. There is thickening of the gallbladder fundus with a, tail artifact seen within. The common bile duct measures 2.1 mm in diameter. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen was partially shadowed by rib and therefore was unable to be adequately measured. No significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 11.2 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen. A anechoic cyst is seen in the midpole measuring 3.3 cm x 3.7 cm x 3.0 cm.LEFT KIDNEY: The left kidney is surgically absent.
1. Increased echogenicity of the liver parenchyma compatible with fatty infiltration/hepatocellular dysfunction. No worrisome masses are seen in the liver.2. There is some thickening of the gallbladder fundus that likely represents gallbladder adenomyomatosis. No cholelithiasis or evidence of acute cholecystitis is seen.