Reason: Evaluate for gallstones History: RUQ pain LIVER: The liver measures 18.87 m in length, enlarged. Unremarkable hepatic parenchymal echogenicity and echotexture. The portal vein is patent with normal directional hepatopedal flow, peak velocity 49.0 cm/s. No focal mass.GALLBLADDER, BILIARY TRACT: No shadowing stones or gallbladder sludge. The gallbladder wall measures 0.3 cm. The common bile duct measures 0.4 cm. No significant intrahepatic or extrahepatic biliary ductal dilatation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: The right kidney measures 10.1 cm in length. The left kidney measures 7.7 cm in length. Markedly echogenic renal parenchyma with numerous anechoic, cystic lesions, consistent with end-stage renal disease. No shadowing renal calculi or hydronephrosis.OTHER: The spleen is enlarged, measuring 10.5 cm in length. No ascites.
1. Hepatosplenomegaly. No evidence of cholelithiasis or acute pericholecystic inflammation.2. Bilateral echogenic, multicystic kidneys, consistent with end-stage renal disease.