41 y.o. male presents with RUQ. Evaluate hepatobiliary system. LIVER:The liver measures approximately 20.1 cm. There is coarse and increased echogenicity of the parenchyma. No mass, ascites, or intrahepatic biliary dilation. The portal vein is patent with normal hepatopedal flow.GALLBLADDER, BILIARY TRACT: The gallbladder length measures approximately 13.9 cm. Echogenic dependent material within the gallbladder likely represents sludge. No stones. The gallbladder wall thickness is 0.2 cm. No pericholecystic fluid. The common bile duct measures 7.5 mm. Negative sonographic Murphy's sign.PANCREAS: Evaluation limited by overlying bowel gas.SPLEEN: The spleen measures 11.8 cm. No sonographic abnormalities.KIDNEYS: The right kidney measures 12.1 cm. The cortex has normal echogenicity. No shadowing calculi, hydronephrosis, or worrisome mass. The left kidney measures approximately 10.8 cm. The cortex has normal echogenicity. No shadowing calculi, hydronephrosis, or worrisome mass. OTHER: No significant abnormality noted.
1. Coarse and increased echogenicity of the parenchyma in the liver consistent with chronic liver disease/parenchymal dysfunction. No mass or ascites.2. Hepatomegaly.3. Gallbladder sludge without signs of acute cholecystitis.