55 year old female patient with right upper quadrant pain and epigastric pain, known gallbladder sludge, and history of pancreatitis. Evaluate for gallbladder pathology, cholecystitis. LIVER: The liver measures 12.8 cm in length. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. There is questionable minimal intrahepatic biliary ductal dilatation. The common duct measures 4 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas. The pancreatic duct measures upper limits of normal in diameter.RIGHT KIDNEY: The right kidney measures 9.8 cm in length and demonstrates increased cortical echogenicity. No evidence of hydronephrosis. OTHER: The left kidney measures 7.4 cm in length and demonstrates increased cortical echogenicity. No evidence of hydronephrosis. There is a 1.6 x 1.6 x 1.9 cm left lower pole renal cyst.The spleen measures 11.3 cm in length and contains multiple echogenic foci compatible with calcified granulomata.
1. No evidence of cholelithiasis or acute cholecystitis.2. Questionable minimal intrahepatic biliary ductal dilatation.3. Medical renal disease and left renal cyst.