70-year-old female complains of right upper quadrant pain. Evaluate for gallbladder pathology. LIVER:The liver measures approximately 15.8 cm. There is increased and coarse echotexture of the parenchyma. No mass, ascites, or intrahepatic biliary dilation. The portal vein is patent with normal hepatopedal flow.GALLBLADDER, BILIARY TRACT: The gallbladder appears normal without stones or sludge. The gallbladder wall measures approximately 0.2 cm. The common bile duct measures 0.1 cm. No pericholecystic fluid.PANCREAS: Evaluation the pancreas is limited due to overlying bowel gas.SPLEEN: The spleen measures 7.5 cm without sonographic abnormalities.KIDNEYS: The right kidney measures 10.1 cm. The cortex has increased echogenicity. No shadowing calculi, worrisome mass, or hydronephrosis. The left kidney measures 10.0 cm. The cortex has increased echogenicity. No shadowing calculi, or worrisome mass, or hydronephrosis. OTHER: No significant abnormality noted.
1. Increased, coarse echotexture of the liver consistent with chronic liver disease/parenchymal dysfunction. No masses or ascites.2. Increased echogenicity of the kidneys consistent with medical renal disease/parenchymal dysfunction. No stone, worrisome mass, or hydronephrosis.3. No sonographic evidence of biliary pathology.