59-year-old female with transaminitis/jaundice. The exam is limited by patient positioning and inability to breath-hold.LIVER: Liver is normal in size and echotexture. No focal hepatic abnormality. Limited Doppler evaluation demonstrates patency and appropriate flow direction in the main portal vein. Pulsatility of waveform may be seen in congestive heart failure.BILIARY TRACT: Mild prominence the biliary tract without gross ductal dilatation. Common duct is normal in caliber. The gallbladder is incompletely distended but asymmetrically thick-walled associated with a trace of pericholecystic fluid. Small echogenic foci in the gallbladder likely represent small calculi. This cannot be verified due to inability to change patient's position. PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted.RIGHT KIDNEY: Mildly echogenic as previously noted.OTHER: Bilateral pleural effusions. Mildly echogenic left kidney.
There is mild, but asymmetric gallbladder wall thickening associated with a trace of pericholecystic fluid and perhaps small gallstones. Evaluation is limited by breathing and inability to appropriately change patient's position. This should be correlated with patient's symptomatology, since this could be the result of inflammation, adenomyosis or other mass.Mildly echogenic kidneys