Female; 27 years old. Reason: gallstones, gallbladder wall dilation History: transaminitis, elevated bili LIVER: The liver measures 15.3 cm in length. The contour is smooth and the parenchyma demonstrates a coarsened echotexture.The main portal vein is patent and demonstrates hepatopetal flow with a peak velocity of 0.2 m/sec. No worrisome hepatic lesion is identified.BILIARY TRACT: Small layering stones are seen within the gallbladder. No gallbladder wall thickening or pericholecystic fluid. No sonographic Murphy sign elicited. The common bile duct is normal and measures 5 mm in diameter. There is no intrahepatic delayed ductal dilatation. No biliary ductal stone is identified.PANCREAS: Head of the pancreas is unremarkable. The body and tail are obscured by overlying bowel gas.SPLEEN: The spleen measures 9.9 cm in length.RIGHT KIDNEY: The right kidney measures 11.6 cm in length. The renal cortex is normal in echogenicity. There is no hydronephrosis, renal stone, or worrisome mass identified.OTHER: The left kidney measures 10.8 cm in length. The renal cortex is normal in echogenicity. There is no hydronephrosis, renal stone, or worrisome mass identified.
1.Small layering gallstones without sonographic evidence of cholecystitis.2.Coarsened echotexture of hepatic parenchyma.