51-year-old female complains of recurrent abdominal pain. Evaluate biliary system. LIVER:The liver measures 15.3 cm. Mildly increased echogenicity of the parenchyma. No focal masses, intrahepatic biliary dilation, or ascites. The portal vein is patent with normal hepatopedal flow.GALLBLADDER, BILIARY TRACT: The gallbladder is absent. The common bile duct measures 6.7 mm.PANCREAS: Evaluation the pancreas limited due to overlying bowel gas.SPLEEN: Measures 9.3 cm without sonographic abnormalities.KIDNEYS: Right kidney measures 10.7 cm. Left kidney measures 11.4 cm. Normal echogenicity. No shadowing calculi, hydronephrosis, or focal masses. OTHER: No significant abnormality noted.
1. Mildly increased echotexture of liver consistent with chronic liver disease/parenchymal dysfunction.2. Surgical changes of a prior cholecystectomy.