45-year-old female patient with right upper quadrant abdominal pain, nausea. Evaluate for cholecystitis. LIVER: No focal hepatic lesion is identified. The liver measures 19.5 cm in length. The main portal vein is patent with hepatopetal flow measuring approximately 0.2 m/s. BILIARY TRACT: There is no intra or extra hepatic biliary ductal dilatation. The gallbladder contains gallstones, however, there is no gallbladder wall thickening or pericholecystic fluid. The common bile duct measures approximately 5 mm in diameter. Sonographic Murphy's sign was negative. PANCREAS: The head and body of the pancreas appear normal. The tail is obscured by overlying bowel gas.SPLEEN: The spleen measures 9.3 cm in length.RIGHT KIDNEY: The right kidney measures 10.2 cm in length and contains a subcentimeter simple cyst. No evidence of hydronephrosis.OTHER: The left kidney measures 10.9 cm in length. No evidence of hydronephrosis.
1. Cholelithiasis without evidence of acute cholecystitis.2. Hepatomegaly.