Febrile, hypotensive, rule out gallbladder pathology LIVER: Liver measures 17.6 cm with increased echogenicity compatible with fatty liver. No focal lesions noted. No intrahepatic biliary ductal dilatation noted. BILIARY TRACT: Gallbladder is markedly distended with sludge layering within it. Few hyperechoic small stones could be noted within the gallbladder. No evidence of gallbladder wall thickening. Patient cannot lie injected disposition therefore limited evaluation as per the technologist.On bile duct at the porta hepatis measures 1.5 cm.PANCREAS: Limited evaluation due to overlying bowel gas.SPLEEN: Spleen measures 10 cm without any focal lesions.KIDNEY: Right kidney measures 13 cm and left kidney measures 13.4 cm. Both kidneys demonstrate increased echogenicity compatible with chronic medical renal disease. No hydronephrosis or focal lesions.OTHER: Ascites noted
Hepatic steatosisDistended gallbladder with sludge and small stones without acute cholecystitisIncreased echogenicity of the kidneys consistent with chronic medical renal disease.Ascites