Nausea, vomiting, and diarrhea. LIVER: Non-cirrhotic liver morphology. Normal parenchymal echogenicity. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Contracted gallbladder, which limits evaluation. No shadowing gallstone or pericholecystic fluid is evident.PANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 12.2 cm in length. The left kidney is 12.5 cm in length. The renal parenchyma is echogenic bilaterally. No suspicious renal lesions are evident. No hydronephrosis is seen.SPLEEN: 10.3 cm in length, without focal lesions evident.OTHER: No significant abnormalities noted.
1. No evidence of cholecystitis. No specific findings otherwise to account for the patient's symptoms.2. Echogenic renal parenchyma without hydronephrosis, compatible with medical renal disease.