Female; 73 years old. Reason: RUQ ultrasound to evaluate for gallstones in pt with elevated lipase and epigastric pain History: epigastric pain LIVER: The liver measures 17.2 cm in length. The liver contour is smooth, the parenchyma demonstrates coarse echotexture. No worrisome masses identified.The portal vein is patent and demonstrates a normal direction of flow with a peak velocity of 0.33 m/sec.BILIARY TRACT: The gallbladder is normal in appearance without shadowing stones. There is no gallbladder wall thickening or pericholecystic fluid. There is mild intrahepatic biliary ductal dilatation. The common bile duct measures 3 mm, normal.PANCREAS: The pancreas is unremarkable. The body and tail are obscured by overlying bowel gas. There is no ultrasound evidence of pancreatitis.SPLEEN: The spleen measures 1.7 cm in length.RIGHT KIDNEY: The right kidney measures 10.4 cm in length. The renal cortex is echogenic. There is no renal stone or hydronephrosis. No worrisome renal mass is identified. Within the superior pole of the right kidney and a 1.1 x 1.1 x 1.1 centimeter simple renal cyst.OTHER: The left kidney measures 11.7 cm in length. The renal cortex is echogenic. There is no renal stone or hydronephrosis. No worrisome renal mass is identified.
1.No ultrasound evidence of pancreatitis. 2.Mild intrahepatic biliary ductal dilatation. No cholelithiasis, evidence of acute cholecystitis, or extrahepatic biliary ductal dilatation.3.Echogenic kidneys consistent with medical renal disease.