Reason: cause of abdominal pain, suspect for choledocholithiasis History: episode of abdominal pain with elevated transaminases. LIVER: The liver measures 15.9 cm in length. Coarse echogenic hepatic parenchyma. The portal vein is patent with normal directional hepatopedal portal venous blood flow, peak velocity 22.1 cm/s. No focal masses.GALLBLADDER, BILIARY TRACT: Several mobile echogenic stones in the gallbladder lumen without evidence of pericholecystic inflammation. The gallbladder wall measures 0.2 cm, common hepatic duct 0.2 cm, common bile duct 0.3 cm. No biliary ductal dilatation. Negative sonographic Murphy's sign.PANCREAS: The pancreatic duct measures 0.3 cm.RIGHT KIDNEY: The right kidney measures 10.5 cm in length. No hydronephrosis, masses, or shadowing stones.LEFT KIDNEY: The left kidney measures 10.1 cm in length. No hydronephrosis, masses, or shadowing stones.OTHER: No ascites.
1. Cholelithiasis without evidence of acute inflammation.2. Coarse echogenic hepatic parenchyma, consistent with hepatic steatosis or parenchymal dysfunction. 