Severe epigastric and right upper quadrant abdominal pain. LIVER: The liver is normal in morphology, echogenicity and size measuring 19 cm in craniocaudal dimension. No focal liver lesion or biliary ductal dilatation. Normal hepatopedal portal venous blood flow at 0.23 m/s.BILIARY TRACT: Normally distended gallbladder without gallstones, wall thickening, pericholecystic fluid or focal tenderness. No intra or extrahepatic biliary ductal dilatation with the common duct measuring 2 mm.PANCREAS: The visualized portions of the pancreatic head and body are normal. The distal pancreatic body and tail are obscured by overlying bowel gas shadowing.SPLEEN: Splenomegaly measuring 16 cm in length without a focal lesion.RIGHT KIDNEY: The right kidney measures 9 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion. Color Doppler demonstrates hilar blood flow. OTHER: The left kidney measures 10.7 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion. Color Doppler demonstrates hilar blood flow.
No specific findings to account for the patient's right upper quadrant and epigastric pain. Nonspecific splenomegaly measuring 16 cm without a focal lesion.