25-year-old male with sickle cell anemia, jaundice, hyperbilirubinemia. LIVER: Measures 19.0 in length, mildly enlarged. Unremarkable hepatic echogenicity without discrete focal lesion. Patent portal vein with antegrade flow. BILIARY TRACT: Cholelithiasis and gallbladder sludge without gallbladder wall thickening or sonographic Murphy sign. No biliary ductal dilation. PANCREAS: The pancreas is incompletely imaged due to bowel gas. The imaged portions of the pancreas appear unremarkable. SPLEEN: Unremarkable in size and echogenicity. KIDNEY: 1.6 cm complex right mid-polar cyst with internal echogenic material is unchanged since the prior study. 2.4 x 1.4 x 1.0 cm left renal cyst also unchanged. No hydronephrosis. OTHER: No significant abnormalities noted.
1.Cholelithiasis and gallbladder sludge without evidence of acute cholecystitis or biliary ductal dilation.2.Bilateral renal cysts as described above without significant interval change since the prior study.