Reason: Rule out hepatobiliary disease (cholelithiasis vs cholecystitis) History: RUQ pain LIVER: The liver measures 15.1 cm in length. Hepatic parenchymal echogenicity is suggestive of hepatic steatosis or parenchymal dysfunction. Normal hepatopedal portal venous blood flow, 25.4 cm/s.BILIARY TRACT: No significant abnormalities noted. No shadowing gallstones or sludge. Probable adenomyomatosis in the gallbladder fundus. The gallbladder wall measures 3 mm. The common bile duct measures 2 mm. No intrahepatic or extrahepatic biliary ductal dilatation. Negative sonographic Murphy sign.PANCREAS: Obscured due to overlying bowel gas.SPLEEN: The spleen measures 8.6 cm in length. Several scattered microcalcifications are noted.KIDNEYS: The right kidney measures 10 cm in length. The left kidney measures 11 cm in length. 2.4 x 2.2 x 1.9 cm anechoic left lower pole cyst.OTHER: No significant abnormalities noted.
Echogenic liver, which may reflect parenchymal dysfunction or hepatic steatosis. No cholelithiasis, evidence of cholecystitis or biliary ductal dilatation.