Idiopathic aplastic anemia. Other disorders of bilirubin metabolism. Evaluate for etiology of conjugated hyperbilirubinemia. LIVER: Diffusely hyperechoic liver suggestive of hepatic steatosis. The liver measures 17.4 cm in the longitudinal plane. Normal portal venous flow.GALLBLADDER, BILIARY TRACT: Several hyperechoic stones are seen along with intraluminal sludge. The largest stone in the gallbladder neck is mobile and measures 1.65 cm. The common hepatic duct measures 0.4 cm and common bile duct measures 0.5 cm. The gallbladder wall measures up to 2 mm. No gallbladder wall thickening or pericholecystic fluid. PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Echogenic kidneys, suggestive of medical renal disease.OTHER: No significant abnormalities noted.
1. 1.6 cm mobile gallstone in the gallbladder neck and without evidence of cholecystitis.2. Echogenic liver and kidneys, suggestive of hepatic steatosis and medical renal disease.