45-year-old female patient with elevated LFTs. Question of cholelithiasis or hepatic congestion. LIVER: The liver measures 19.9 cm in length. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: There is a single gallstone, but no gallbladder wall thickening or pericholecystic fluid. Sonographic Murphy's sign is negative. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 2 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 12.6 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 13.1 cm in length. No evidence of hydronephrosis.The spleen measures 17 cm in length. A splenic calcification is present.
1. Mild hepatosplenomegaly.2. Cholelithiasis without sonographic evidence of acute cholecystitis. 