63-year-old female patient with right upper quadrant abdominal pain. LIVER: The liver measures 13.3 in length and demonstrates heterogeneous, coarsened echotexture. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.15 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones or pericholecystic fluid. The gallbladder wall is slightly irregular near the fundus and borderline thickened measuring approximately 4 mm. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 3 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 11 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 12.5 cm in length. No evidence of hydronephrosis. Two subcentimeter hyperechoic foci noted within the lower pole likely represent nonobstructing renal calculi.The spleen measures 16 cm in length.Foley catheter is noted within the bladder.
1. Coarsened hepatic echotexture which can be seen with hepatic parenchymal dysfunction.2. Non-specific slightly irregular, thickened gallbladder wall near the fundus; differential diagnosis includes both benign and malignant conditions including adenomyomatosis and neoplasm. 3. Subcentimeter nonobstructing left nephrolithiasis.Findings communicated via telephone to R. Young at 0928 hrs on 11/6/2015. 