Female 31 years old Reason: Vague upper and LUQ pain. Exclude splenomegaly, pancreatic abnormalities LIVER: Normal, relatively homogeneous appearance of the liver parenchyma. No focal hepatic mass is visualized. Main portal vein is patent with normal directional flow and a peak velocity 26 cm/s.BILIARY TRACT: No intra or extra hepatic biliary ductal dilatation. Common bile duct measures up to 5 mm. No evidence of acute inflammation of the gallbladder. No gallstones. Gallbladder wall is within normal limits measuring 2 mm.PANCREAS: The visualized portions of the pancreas are normal.SPLEEN: Spleen is normal in appearance measuring 8.8 cm.RIGHT KIDNEY: Normal cortical echogenicity. No hydronephrosis or shadowing calculus. Right kidney measures 11.8 cm.LEFT KIDNEY: Per technologist the left kidney is somewhat inferiorly displaced and has a configuration that is somewhat altered, which may be seen in ptotic kidney. Visualized portions of the cortex of normal echogenicity. No hydronephrosis or shadowing calculus. Left kidney measures 9.3 cm. OTHER: No significant abnormalities noted.
The left kidney is somewhat inferiorly displaced and has a somewhat altered orientation, appearance may be seen in setting of ptotic kidney. If there is further clinical concern for anatomic abnormality causing patient's symptoms, contrast enhanced CT may be helpful for further evaluation (would provide improved evaluation of pancreas as well). No evidence of splenomegaly as clinically questioned. 