54 years old, Male, Reason: evaluate for cholelithiasis History: abd pain, pancreatitis LIVER: The liver is enlarged measuring 19.5 cm in length. Increased echogenicity of hepatic parenchyma is consistent with fatty infiltration. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.3 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. Mild intrahepatic biliary duct dilatation. The proximal Common bile duct is dilated measuring 0.8 cm. the distal common bile duct measures up to 1 cm in diameter. No obstructing stone or mass is identified on this exam.PANCREAS: The pancreas is not well visualized in this exam. Visualized portions of the pancreas appear mildly hypoechoic and edematous consistent with pancreatitis. The pancreatic duct is not definitely identified on this exam.SPLEEN: No significant abnormalities noted. The spleen measures 11.0 cm in length. RIGHT KIDNEY: Kidney measures 11.8 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 13.0 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted.
1.Mild Intra-and extrahepatic biliary ductal dilatation without obstructing stone or mass identified on this exam, please correlate with bilirubin levels.2.Normal gallbladder without evidence of cholelithiasis or cholecystitis.3.Hepatomegaly with fatty infiltration.