Right upper quadrant pain LIVER: Measures 17.7 cm. Normal parenchymal echotexture without focal mass. No biliary dilation. The portal vein is patent.GALLBLADDER, BILIARY TRACT: Cholelithiasis without gallbladder wall thickening. There is a small focus of fluid anterior to the gallbladder. The common bile duct is normal diameter.PANCREAS: Not evaluated due to overlying bowel gas.RIGHT KIDNEY: Measures 10.4 cm. No hydronephrosis or mass.OTHER: Left kidney measures 10.5 cm in length. The spleen is atrophic and measures 8.5 cm in length.
Cholelithiasis without evidence of cholecystitis.