Reason: Evaluate for biliary pathology History: epigastric pain LIVER: Mild hepatomegaly with coarse echotexture. The liver measures 19 cm in length. The portal vein is patent. Normal hepatopedal portal venous blood flow, 21.6 cm/s.GALLBLADDER, BILIARY TRACT: Layering intraluminal sludge in the dependent portion of the gallbladder. No pericholecystic fluid, stones, or biliary ductal dilation. The gallbladder wall measures 2 mm. The common hepatic duct measures 4 mm.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: The right kidney measures 12.0 cm.LEFT KIDNEY: The left kidney measures 11.2 cm. 3.0 x 3.9 cm x 3.7 anechoic cyst in the inferior pole of the left kidney.SPLEEN: The spleen measures 9.0 cm.OTHER: Small left pleural effusion.
Mild hepatomegaly and gallbladder sludge without other acute biliary pathology.