History: RUQ pain LIVER: The liver measures 14.7 cm in length. Mildly echogenic hepatic parenchyma. The portal vein is patent with normal directional hepatopedal flow, peak velocity 20.5 cm/s. No focal mass.GALLBLADDER, BILIARY TRACT: The gallbladder is mildly distended, however there is no evidence of pericholecystic inflammation or fluid. No stones or sludge are identified. The gallbladder wall measures 0.2 cm. The common hepatic duct measures 0.2 cm. No biliary ductal dilatation. Negative sonographic Murphy's sign.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: The right kidney measures 12.4 cm in length. Unremarkable renal parenchymal echogenicity. No hydronephrosis or shadowing renal calculi.The left kidney measures 11.4 cm in length. Unremarkable renal parenchymal echogenicity. No hydronephrosis or shadowing renal calculi.OTHER: The spleen measures 10.2 cm in length. No ascites.
1. Mildly distended gallbladder without cholelithiasis, sludge, or evidence of acute inflammation.2. Mildly echogenic liver, consistent with hepatic steatosis.