Elevated liver enzymes. Evaluate for cholecystitis or biliary process. LIVER: 14.3 cm in length. Non-cirrhotic liver morphology. Increased parenchymal echogenicity. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Biliary sludge and several subcentimeter gallstones noted, without evidence of cholecystitis. No sonographic Murphy's sign.PANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 12.4 cm in length. No suspicious renal lesions are evident. No right-sided hydronephrosis is seen.The left kidney is 11.6 cm in length. Mild left-sided hydronephrosis, with stent in place.SPLEEN: 12.0 cm in length, without focal lesions evident.OTHER: Small right pleural effusion.
1. Increased hepatic echogenicity, compatible with proximal dysfunction.2. Biliary sludge and cholelithiasis, without evidence of cholecystitis.3. Mild left-sided hydronephrosis, with stent in place.4. Small right pleural effusion.