Abdominal pain. Elevated LFTs. History of renal transplant. LIVER: Non-cirrhotic liver morphology. Minimally echogenic parenchymal echogenicity. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Distention of the gallbladder with tumefactive sludge. No gallbladder wall thickening or pericholecystic fluid to suggest cholecystitis.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 9.9 cm in length. The left kidney is 11.1 cm in length. Multiple renal cysts are noted bilaterally. No suspicious renal lesions are evident. No hydronephrosis is seen.SPLEEN: 16.2 cm in length, without focal lesions evident.OTHER: No significant abnormalities noted. No ascites identified.
1. Distended gallbladder with biliary sludge, without evidence of cholecystitis.2. Minimally echogenic liver, compatible with parenchymal dysfunction.3. Splenomegaly.