Right upper quadrant pain. Recently diagnosed with celiac disease. LIVER: The liver parenchyma is mildly coarse and echogenic. No focal suspicious lesion or intrahepatic biliary ductal dilatation. Normal hepatopedal portal venous blood flow at 49 cm/s.BILIARY TRACT: No extrahepatic biliary ductal dilatation with the common duct measuring 4 mm.Normally distended gallbladder without gallbladder wall thickening, pericholecystic fluid, gallstones or focal tenderness.PANCREAS: The visualized portions of the pancreatic head and body are unremarkable. The remainder of the pancreas is obscured by overlying bowel gas shadowing.SPLEEN: The spleen is normal in size measuring 7.8 cm in length.RIGHT KIDNEY: The right kidney measures 9.7 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion. Color Doppler demonstrates hilar flow flow. OTHER: The left kidney measures 10.5 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion. Color Doppler demonstrates hilar flow flow.
No specific findings to account for the patient's right upper quadrant pain. Mildly coarse and echogenic liver parenchyma most commonly seen in fatty infiltration of the liver.