70 year old female with right upper quadrant pain. Evaluate gallbladder and liver. LIVER: Increased echogenicity of the liver measuring 16.8 cm in length. Cyst in the right hepatic lobe measures 1.2 cm x 1.2 cm x 1.4 cm which corresponds to the hypodense focus on prior CT's and appears unchanged. Main portal vein is patent with appropriate directional flow; peak velocity measures 0.3 m/sec. common duct measures 4 mm in caliber. No intra-or extrahepatic biliary ductal dilatation.GALLBLADDER, BILIARY TRACT: Multiple shadowing calculi within the gallbladder. No pericholecystic fluid. No gallbladder wall thickening. Sonographic Murphy's sign is negative. Common duct measures 4 mm in caliber. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Not well seen due to overlying bowel gas.RIGHT KIDNEY: Measures 10.5 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Left kidney measures 10.5 cm in length. No hydronephrosis or shadowing calculi are noted. Spleen measures 8.5 cm in length and is normal in echogenicity.
1. Increased echogenicity of the liver suggestive of parenchymal dysfunction/fatty infiltration. No focal hepatic lesions.2. Cholelithiasis with no evidence of cholecystitis.