Right upper quadrant ultrasound, evaluate for cholecystitis LIVER: Liver measures 19.5 cm with diffuse coarse echotexture. Portal vein demonstrates normal flow directionality and patency. No focal lesions noted. Minimal fluid fluid noted in the abdomen. No intrahepatic biliary ductal dilatation.BILIARY TRACT: Gallbladder is distended with normal gallbladder wall thickness measuring up to 2.5 mm. No evidence of gallstones. Minimal sludge noted in the gallbladder. Cannot assess Murphy's sign on this patient as per the technologist. Common bile duct measures up to 4 mm within normal limits.PANCREAS: Head of the pancreas partially visualized appears unremarkable. Body and tail of pancreas could not be visualized due to overlying bowel gas.SPLEEN: Spleen measures 14.6 cm, mildly increased in size. Echogenic area in the spleen is not completely evaluated but could represent a small hemangioma.RIGHT KIDNEY: Right kidney measures 11.9 cm and left kidney measures 9 cm. Limited evaluation of the left kidney due to patient positioning. Mild increased echogenicity of the kidneys noted bilaterally. No hydronephrosis. OTHER: Minimal fluid in the abdomen
Coarse diffuse echotexture of the liver without any focal lesions. Distended gallbladder with minimal sludge within it without evidence of acute cholecystitis.Mild splenomegaly however spleen and left kidney could not be completely evaluated due to patient positioning.Bilateral echogenic kidneys consistent with chronic medical renal disease.Mild ascites