Reason: nausea and vomiting, assess for gallstones LIVER: The liver measures 14.4 cm in length. The liver demonstrates increased parenchymal echogenicity with coarsened echotexture. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.24 m/s.BILIARY TRACT: Cholelithiasis, shadowing from which obscures the posterior aspect of the gallbladder. No gallbladder wall thickening or pericholecystic fluid is visualized. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 2 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 10.0 cm in length. RIGHT KIDNEY: Kidney measures 11.1 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 11.4 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No significant abnormalities noted.
1.Cholelithiasis without sonographic evidence of acute cholecystitis or biliary ductal dilatation.2.Increased hepatic echogenicity raising the possibility of parenchymal dysfunction/fatty infiltration.